Active NPI
John Braxton Redding, CRNA
- Certified Registered Nurse Anesthetist
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN195323
- Practice address
- 1499 Fair Rd
Statesboro, GA 30458-1683 - Phone
- (912) 486-1973
- Fax
- (912) 681-4184
- NPI assigned
- Feb 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | RN195323 | GA | Primary |
Addresses
Primary practice location
1499 Fair Rd
Statesboro, GA 30458-1683
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN195323 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Southeast LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
400 Cedar St
Metter, GA 30439
Phone (912) 685-1726
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1487107157
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1407195225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73709",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713709",
"telephone_number": "770-251-2060",
"fax_number": "678-854-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 FAIR RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581683",
"telephone_number": "912-486-1973",
"fax_number": "912-681-4184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "JOHN",
"middle_name": "BRAXTON",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-14",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN195323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.