Margaret A. Stark, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Charleston, SC
NPI 1376874263 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1376874263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4100 (SC)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-0100 - Phone
- (843) 792-1414
- NPI assigned
- Jan 18, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Carolina School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vituity-Georgia Anesthesia PC
Practice addresses (Care Compare)
5401 Lake Oconee Pkwy
Greensboro, GA 30642-4232
Phone (706) 453-7331
Hospital & facility affiliations
- St Marys Good Samaritan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000030 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032252259 | Reassigns benefits to 1 organization |
| I20211118001299 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9032252259 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4100 | SC | MD | Physician Assistant |
| RN163102 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Good Samaritan Hospital, Inc. | Current |
Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical University Hospital Authority | Current |
Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current |
Accepting new patients | |
| Vituity-Georgia Anesthesia PC | Current |
Accepting new patients | |
| Putnam General Hospital Authority | Current |
Accepting new patients | |
| Morgan County Georgia Hospital Authority | Current | Accepting new patients | |
| Putnam General Hospital Authority | Current |
Accepting new patients |
Locations
101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907
5401 Lake Oconee Pkwy
Greensboro, GA 30642
Phone (706) 453-7331
367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800
1740 Lions Club Rd
Madison, GA 30650
Phone (706) 342-1667
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
Interoperability endpoints
- margaretstark@mmc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN163102 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 4100 | SC | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-0100
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other providers in Charleston, SC
- Sarah Stapleton
- Erin L Stapp
- Star, LLC
- Kathryn Stark
- Lauree Gail Stark
- Tamara L Starnes
- Ashley Nicole Starodub
- Nicole E Stasko
- Stat Ambulance Service LLC
- Stat Surgical Assoc Inc
All providers in Charleston, SC · Certified Registered Nurse Anesthetist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.