Active NPI
Dwight A Kingry, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN166317
- Practice address
- 1968 Peachtree Rd. NW
Atlanta, GA 30309-1281 - Phone
- (404) 351-1745
- Fax
- (404) 351-7121
- NPI assigned
- Jun 19, 2005
- Last updated
- Jul 31, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN166317 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000010813 | TN |
Addresses
Primary practice location
1968 Peachtree Rd. NW
Atlanta, GA 30309-1281
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
2306 Wisteria Dr
Suite 100
Snellville, GA 30078-3561
Phone (770) 979-8200
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53481 | TN | MD | Pediatric Anesthesiology Physician |
| RN166317 | GA | MD | Certified Registered Nurse Anesthetist |
| APN0000010813 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| North Fulton Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mak Anesthesia Georgia, LLC | Current | Accepting new patients | |
| Gastrointestinal Specialist of Georgia | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiologists Associated PC | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034
711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200
2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200
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.
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- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Marietta, GA
- NPI 1801975339
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1043278443
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1518923705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1386649937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "954-839-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD. NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "404-351-1745",
"fax_number": "404-351-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGRY",
"first_name": "DWIGHT",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-19",
"last_updated": "2023-07-31",
"certification_date": "2023-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN166317",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN0000010813",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.