Active NPI
Gregory Blaine Collins, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 9259760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G4222 | Other | FL | BLUE CROSS BLUE SHIELD |
| 591-91703 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9259760 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Texas Anesthesia Partners, PLLC | Current | 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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- Arlington, TX
- NPI 1720589310
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1598658015
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1134266380
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.