Ronald Ray Mallory, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R095938 Issued in GA

Practice address

214 Hospital Cir
Blairsville, GA 30512-3102

Phone

(706) 745-2111

Fax

(706) 745-3114

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue Ridge Anesthesia Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Blue Ridge, GA
  • NPI 1023176740

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457449258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123102",
            "telephone_number": "706-745-2111",
            "fax_number": "706-745-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOSPITAL CIR",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123102",
            "telephone_number": "706-745-2111",
            "fax_number": "706-745-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "RONALD",
        "middle_name": "RAY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "R095938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna A Locke, PHARMD
• Thomas Charles Lovelace, HADS,HIS
• Jake Paul Lundquist, FNP-C
• Emma Gene Lyles
• Ronald A Macbeth Jr., M.D.
• John A Manfredi, MD
• Mark Baker, Inc.
• Mark J. Greenbaum, D.P.M., P.C.
• Kimberly Kennedy Martin
• Seth Martin

• Certified Registered Nurse Anesthetist in Blairsville, GA
• Providers in Blairsville, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.