Individual provider Active NPI

Kathy Livingston Gunter, CRNA

  • Certified Registered Nurse Anesthetist
  • Aiken, SC
National Provider Identifier
1396015814
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN 17846 Issued in SC
Practice address
526 Timberchase Lane
Aiken, SC 29803
Phone
(803) 522-1291
Fax
(803) 648-2050
NPI assigned
Jan 2, 2012
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 APRN 17846 SC Primary

Addresses

Primary practice location

526 Timberchase Lane
Aiken, SC 29803

Mailing address

526 Timberchase Lane
Aiken, SC 29803
Phone (803) 522-1291

Other names 1

  • Ms. Kathy Melinda Polewski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121221000290 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486806478 Reassigns benefits to 3 organizations
I20170525001650 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486806478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (478) 746-7577

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17846SCMDRadiation Oncology Physician
APRN 17846SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Beach Anesthesia, LLC CurrentSince Oct 26, 2021 Accepting new patients
Palmetto Health Services Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2013 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Oct 9, 2022 Accepting new patients
Anesthesia Consultants of Augusta, LLC CurrentSince Jun 1, 2024 Accepting new patients
Anesthesia and Pain Medicine Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-2369

915 Russell St
Augusta, GA 30904
Phone (706) 737-4255

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

103 Gregg Ave NW
Aiken, SC 29801
Phone (803) 226-0799

103 Gregg Ave NW
Ste 100
Aiken, SC 29801
Phone (803) 226-0799

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1396015814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 TIMBERCHASE LANE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "telephone_number": "803-522-1291",
            "fax_number": "803-648-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 TIMBERCHASE LANE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "telephone_number": "803-522-1291",
            "fax_number": "803-648-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "KATHY",
        "middle_name": "LIVINGSTON",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APRN 17846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "POLEWSKI",
            "middle_name": "MELINDA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.