Active NPI
Felicia Denise Keith, CRNA
- Certified Registered Nurse Anesthetist
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN12242
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 259-4435
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN12242 | TN | Primary |
| Registered Nurse | 163W00000X | RN1178178 | TN | |
| Registered Nurse | 163W00000X | RN135293 | GA |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
PO Box 2563
Dalton, GA 30722-2563
Phone (706) 271-0100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N421141 | Other | GA | WELLCARE (GA MEDICAID) |
| 8052757 | Medicaid | NC | |
| 3638020 | Medicaid | TN | |
| 009911719 | Medicaid | AL | |
| 4156148 | Other | TN | BLUE CROSS BLUE SHIELD TN |
| P00460064 | Other | TN | RAILROAD MEDICARE |
| 457182117A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000
1502 Dug Gap Rd
Dalton, GA 30720-5004
Phone (423) 639-0941
4713 Papermill Dr
Suite 100
Knoxville, TN 37909-1924
Phone (423) 226-2479
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1178178 | TN | MD | Registered Nurse |
| APN12242 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Group Services, LLC | Current | Accepting new patients | |
| North Georgia Anesthesia Services PC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Atlanta Anesthesia, LLC | Current | Accepting new patients | |
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Uap Chattanooga Pain, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Priority Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Georgia Group Services, LLC | Current | Accepting new patients | |
| Anesthesiology Consultants Exchange, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263
2855 Old Highway 5
Ste 101
Blue Ridge, GA 30513
Phone (866) 214-8600
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1502 Dug Gap Rd
Dalton, GA 30720
Phone (706) 847-0826
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
1016 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 648-4525
1346 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 330-6320
4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Dalton, GA
- NPI 1114545431
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1689816365
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1285043158
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1578843280
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hixson, TN
- NPI 1679834998
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1184670218
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1407869530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2563",
"city": "DALTON",
"state": "GA",
"postal_code": "307222563",
"telephone_number": "706-271-0100",
"fax_number": "706-270-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-259-4435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "FELICIA",
"middle_name": "DENISE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN12242",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN1178178",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN135293",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE (GA MEDICAID)",
"identifier": "N421141",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052757",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3638020",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911719",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TN",
"identifier": "4156148",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00460064",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "457182117A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.