Active NPI
Mary Lillian Nall, CRNA
- Certified Registered Nurse Anesthetist
- Warner Robins, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN097904
- Practice address
- 1601 Watson Blvd
Warner Robins, GA 31093-3431 - Phone
- (478) 329-0051
- NPI assigned
- Apr 13, 2006
- Last updated
- Feb 18, 2016
- Sex
- Female
- 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 | RN097904 | GA | Primary |
Addresses
Primary practice location
1601 Watson Blvd
Warner Robins, GA 31093-3431
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 369270 | Other | GA | STATE MERIT |
| 668512625A | Medicaid | GA |
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-0051
1659 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 329-3100
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN097904 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian Medical Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Irwin County Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1255786521
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Warner Robins, GA
- NPI 1154392660
-
- Certified Registered Nurse Anesthetist
- Ocilla, GA
- NPI 1275754103
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Hospital Warner Robins
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
dba Upson Regional Medical Center
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1396709606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235019",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235019",
"telephone_number": "334-279-1450",
"fax_number": "334-279-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WATSON BLVD",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933431",
"telephone_number": "478-329-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NALL",
"first_name": "MARY",
"middle_name": "LILLIAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN097904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MERIT",
"identifier": "369270",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "668512625A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
- Ijeoma Matilda Mwabuokei, M.D.
- Myeyedr Optometry of Georgia LLC (MyEyeDr)
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Gary Myrthil, M.D.
- Buthena Ahmed Nagi, M.D., M.B.CH.B.
- Patrick Nartey Narh-Martey, M.D.
- Sumit Narula, M.D.
- Nation's Best Healthcare Services, LLC
- National Vision Inc (Eyeglass World)
- National Vision Inc (America's Best Contacts & Eyeglasses)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.