Individual provider Active NPI

Felicia Denise Keith, CRNA

  • Certified Registered Nurse Anesthetist
  • Dalton, GA
National Provider Identifier
1407869530
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN12242 Issued in TN
Practice address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone
(706) 259-4435
NPI assigned
Aug 13, 2006
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
N421141OtherGAWELLCARE (GA MEDICAID)
8052757MedicaidNC
3638020MedicaidTN
009911719MedicaidAL
4156148OtherTNBLUE CROSS BLUE SHIELD TN
P00460064OtherTNRAILROAD MEDICARE
457182117AMedicaidGA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070319000572 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365545985 Reassigns benefits to 2 organizations
I20080118000063 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365545985 Reassigns benefits to 8 organizations

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
North Georgia Anesthesia Services PCGroup PAC ID 2769800515, 44 clinicians
Priority Anesthesia, LLCGroup PAC ID 0446300073, 26 clinicians

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

LicenseStateTypeSpecialty
RN1178178TNMDRegistered Nurse
APN12242TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
North Georgia Anesthesia Services PC CurrentSince Jan 1, 2023 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2016 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Aug 1, 2016 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Uap Chattanooga Pain, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 19, 2024 Accepting new patients
Priority Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2023 Accepting new patients
Georgia Group Services, LLC CurrentSince Jul 1, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.