Individual provider Active NPI

Anthony Bryant, CRNA

  • Certified Registered Nurse Anesthetist
  • Waycross, GA
National Provider Identifier
1457320608
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN109243 Issued in GA
Practice address
410 Darling Ave
Waycross, GA 31501-5246
Phone
(912) 338-6511
Fax
(336) 553-3994
NPI assigned
Mar 17, 2006
Last updated
May 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN109243 GA Primary

Addresses

Primary practice location

410 Darling Ave
Waycross, GA 31501-5246

Mailing address

PO Box 18824
Greensboro, NC 27419-8824
Phone (336) 553-1659

Other identifiers 3

IdentifierTypeStateIssuer
P00351833OtherGARR MEDICARE
000885442MMedicaidGA
000885442KMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001351 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274506464 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams Southeast LLCGroup PAC ID 3870880792, 83 clinicians

Practice addresses (Care Compare)

1501 Alice St
Waycross, GA 31501-4530
Phone (912) 285-0877

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Anesthesia Services of Atlanta LLC CurrentSince May 1, 2024 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Alta Anesthesia Associates of Georgia, PC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2005 Accepting new patients
Irwin County Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2024 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2026 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2010 Accepting new patients
Radius Anesthesia of Georgia LLC CurrentSince Oct 1, 2023 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2010 Accepting new patients
Valdosta Anesthesia Associates, P.C. Past Accepting new patients
East Georgia Regional Medical Center, LLC Past Accepting new patients
Coastal Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Anesthesia Healthcare Partners, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Wabash Valley Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Regional Anesthesia Group Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

3455 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (804) 215-5600

3500 Lenox Rd NE
Atlanta, GA 30326

3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3100 Kemble Ave
Brunswick, GA 31520
Phone (880) 233-2570

3217 4th St
Brunswick, GA 31520
Phone (912) 264-9650

777 Gloucester St
Brunswick, GA 31520
Phone (912) 264-9930

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

710 N Irwin Ave
Ocilla, GA 31774
Phone (229) 468-3800

200 Blue Moon Xing
Ste 200
Pooler, GA 31322

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

1501 Alice St
Waycross, GA 31501
Phone (844) 469-4936

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 17

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 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1457320608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18824",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274198824",
            "telephone_number": "336-553-1659",
            "fax_number": "336-553-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015246",
            "telephone_number": "912-338-6511",
            "fax_number": "336-553-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ANTHONY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN109243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00351833",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885442M",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885442K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.