Individual provider Active NPI

Amy Duffy Kingry, CRNA

  • Certified Registered Nurse Anesthetist
  • Snellville, GA
National Provider Identifier
1477558021
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN166445 Issued in GA
Practice address
1557 Janmar Rd
Snellville, GA 30078-5686
Phone
(678) 344-4890
Fax
(678) 666-5201
NPI assigned
Jun 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0000010814 TN
Certified Registered Nurse Anesthetist 367500000X RN166445 GA Primary

Addresses

Primary practice location

1557 Janmar Rd
Snellville, GA 30078-5686

Mailing address

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518001319 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274524426 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN166445GAMDCertified Registered Nurse Anesthetist
APN0000010814TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2015 Accepting new patients
Advanced Urology Institute of Georgia CurrentSince Aug 1, 2020 Accepting new patients
Advanced Gynecology PC CurrentSince Aug 1, 2020 Accepting new patients
Advanced Gynecology PC Current Accepting new patients
Advanced Urology Institute of Georgia Current Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Nov 12, 2018 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Nov 10, 2019 Accepting new patients
Advanced Urology Institute of Georgia, PC CurrentSince Aug 1, 2020 Accepting new patients
Advanced Gynecology PC CurrentSince Aug 1, 2020 Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Crna Associates, P.C. PastSince Mar 15, 2008 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 28)

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654

2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000

2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162

2711 Irvin Way
Ste 102
Decatur, GA 30030

2711 Irvin Way
Ste 101
Decatur, GA 30030

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

49 Gordon Rd
Ste 103
Jasper, GA 30143
Phone (678) 593-1295

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

1371 Church Street Ext NE
#100
Marietta, GA 30060

1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (404) 256-7532

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1119139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1477558021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785686",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785686",
            "telephone_number": "678-344-4890",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGRY",
        "first_name": "AMY",
        "middle_name": "DUFFY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-19",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010814",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN166445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.