Individual provider Active NPI

Scarlett Justine Abrams, CRNA

  • Certified Registered Nurse Anesthetist
  • Rock Hill, SC
National Provider Identifier
1376965285
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100040 Issued in NC
Practice address
222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone
(803) 329-1234
NPI assigned
Jan 11, 2014
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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 100040 NC Primary

Addresses

Primary practice location

222 S Herlong Ave
Rock Hill, SC 29732-1158

Mailing address

PO Box 848599
Boston, MA 02284-8599
Phone (888) 549-1922

Other names 1

  • Scarlett Justine Blake Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000465 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052541232 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.26 of 100Reported as group
Quality
84.96
Promoting interoperability
100
Improvement activities
40
Cost
72.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100040NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Providence Anesthesiology Associates, P.a. CurrentSince Feb 19, 2020 Accepting new patients
York County Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 29, 2023 Accepting new patients
Anesthesia Associates of Rock Hill, P.a. CurrentSince Apr 6, 2016 Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Past Accepting new patients
Gaston Anesthesia Associates, P.a. Past Accepting new patients

Locations

3735 Glenlake Dr
Ste 250
Charlotte, NC 28208
Phone (704) 749-5801

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

164 Glenwood Dr
Rock Hill, SC 29732
Phone (803) 325-9010

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1376965285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848599",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848599",
            "telephone_number": "888-549-1922",
            "fax_number": "252-752-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321158",
            "telephone_number": "803-329-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "SCARLETT",
        "middle_name": "JUSTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "100040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCARLETT",
            "last_name": "BLAKE",
            "middle_name": "JUSTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.