Individual provider Active NPI

Gregory Blaine Collins, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1376677955
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9259760 Issued in FL
Practice address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone
(850) 477-7042
Fax
(850) 474-9060
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9259760 FL Primary

Addresses

Primary practice location

4901 Grande Dr
Pensacola, FL 32504-5935

Mailing address

4901 Grande Dr
Pensacola, FL 32504-5935
Phone (850) 477-7042

Other identifiers 2

IdentifierTypeStateIssuer
G4222OtherFLBLUE CROSS BLUE SHIELD
591-91703OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090622000257 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406952159 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9259760FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2026 Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 6, 2026 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Aug 15, 2018 Accepting new patients
Parish Anesthesia of New Orleans, LLC Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376677955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "850-477-7042",
            "fax_number": "850-474-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GREGORY",
        "middle_name": "BLAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9259760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G4222",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "591-91703",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.