Individual provider Active NPI

Dorothy Lynn Bloodworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1407809809
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN130988 Issued in GA
Practice address
805 Pamplico Hwy
Florence, SC 29505-6047
Phone
(843) 674-5000
NPI assigned
May 18, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN130988 GA Primary
Certified Registered Nurse Anesthetist 367500000X 25690A SC

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6047

Mailing address

PO Box 23321
New York, NY 10087-3321

Other practice location 1

1020 Latham Dr
Watkinsville, GA 30677-2088
Phone (706) 296-3668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC, OK4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090326000141 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850458449 Reassigns benefits to 7 organizations
I20201215002368 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850458449 Reassigns benefits to 2 organizations
I20220222000881 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850458449 Reassigns benefits to 2 organizations
I20220725002066 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850458449 Reassigns benefits to 1 organization

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
Sleep EzzyGroup PAC ID 4486920295, 23 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians
Resource Anesthesia Barrow Inc.Group PAC ID 2769633114, 9 clinicians

Practice addresses (Care Compare)

1255 Friendship Rd
Suite 140
Braselton, GA 30517-5617
Phone (770) 962-3642

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

301 Philip Blvd
Suite B
Lawrenceville, GA 30046-8746
Phone (770) 822-5560

316 N Broad St
Winder, GA 30680-1776
Phone (770) 867-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6523NCMDProfessional Counselor
RN130988GAMDCertified Registered Nurse Anesthetist
25690ASCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Ezzy CurrentSince Oct 28, 2024 Accepting new patients
Northeast Georgia Anesthesiology LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Mar 15, 2025 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Nov 9, 2022 Accepting new patients
Anesthesia Consultants of Athens Anesthesiology CurrentSince Aug 15, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Feb 11, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Resource Anesthesia Barrow Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Musc Community Physicians CurrentSince Mar 15, 2025 Accepting new patients
Oconee River Anesthesia Associates, LLC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
Georgia Interventional Pain - L, LLC PastSince Oct 9, 2022 Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients
Georgia Interventional Pain - O, LLC PastSince Mar 19, 2023 Accepting new patients
Georgia Pain and Wellness Center Past Accepting new patients
Georgia Interventional Pain - P PastSince Apr 14, 2024 Accepting new patients
Georgia Interventional Pain - M, LLC PastSince Mar 19, 2023 Accepting new patients
Ray Stapleton, Crna P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 29)

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437

3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262

651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290

1255 Friendship Rd
Ste 140
Braselton, GA 30517

1501 Milstead Rd NE
Ste 170
Conyers, GA 30012
Phone (770) 922-2420

484 Irvin Ct
Ste 130
Decatur, GA 30030

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

18 Riverbend Dr SW
Ste 120
Rome, GA 30161
Phone (706) 378-1202

1357 Hembree Rd
Ste 230
Roswell, GA 30076
Phone (770) 740-9664

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 6

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1407809809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056047",
            "telephone_number": "843-674-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Latham Dr",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306772088",
            "country_code": "US",
            "telephone_number": "706-296-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "DOROTHY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN130988",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "25690A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Pamplico Hwy",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.