Douglas Leroy Kerr, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN090303 Issued in GA

Practice address

330 Turner McCall Blvd SW
Rome, GA 30165-5630

Phone

(706) 802-2000

Fax

(706) 233-9846

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055
  NPD (past)
• Preferred Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1356334148
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1477540557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102186",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682186",
            "telephone_number": "800-919-1190",
            "fax_number": "703-737-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655630",
            "telephone_number": "706-802-2000",
            "fax_number": "706-233-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "DOUGLAS",
        "middle_name": "LEROY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN090303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000498682F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Rufus Kelley, MD
• Mykia A Kelly
• Kelsee Tucker
• Dillon Kemeness, MD
• Kent C. Ellington, DMD, PC
• Thomas Howell Kerr
• Dilawar Khan, MD
• Faraad Khan, MD
• Alea Vick Khuong, DPT
• Ritu Kumari Khurana, MD

• Certified Registered Nurse Anesthetist in Rome, GA
• Providers in Rome, 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 Dec 10, 2009; 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.