Active NPI
Corey Douglas Julian, CRNA
- Certified Registered Nurse Anesthetist
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- T111849
- Practice address
- 300 W 27TH St
Lumberton, NC 28358-3075 - Phone
- (910) 671-5000
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- 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 | T111849 | NC | Primary |
Addresses
Primary practice location
300 W 27TH St
Lumberton, NC 28358-3075
Mailing address
PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
- Mercy Hospital Fort Smith
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T111849 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ans Services of Arkansas PA | Current | Accepting new patients | |
| Western Arkansas Obstetric Anesthesia LLC | Current | Accepting new patients | |
| Western Arkansas Anesthesiology Associates P.a. | Current | Accepting new patients |
Locations
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
Organizations & group practices 4
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
- Fort Smith, AR
- NPI 1215755947
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1548202294
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1952671703
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1699558387
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1447744842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2295",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288022295",
"telephone_number": "828-398-5244",
"fax_number": "828-360-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 27TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583075",
"telephone_number": "910-671-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIAN",
"first_name": "COREY",
"middle_name": "DOUGLAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "T111849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.