Gregory Allen Golly Crna, PC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

501795 Issued in TX

Legal business name

GREGORY ALLEN GOLLY CRNA, PC

Practice address

2703 Pinehurst Dr
Grapevine, TX 76051-2697

Phone

(214) 477-1182

NPI assigned

Jan 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Allen Golly, CRNA

Title

President

Phone

(214) 477-1182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1497025282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 PINEHURST DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512697",
            "telephone_number": "214-477-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 PINEHURST DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512697",
            "telephone_number": "214-477-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ALLEN GOLLY CRNA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "GOLLY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-477-1182",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "501795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Southwest Medical Associates
• Greater Southwest Medical Associates
• Greater Southwest Medical Associates PA
• Shara Kay Green, LPC
• Sharon Lee Greene, LCSW
• Russell Gregory, MA,LPC-A
• Vicki Grissett, PT
• John Coalson Grissom, DDS
• Sarah Marie Valor Groce, PA-C
• Leslie Grove, LPC

• Certified Registered Nurse Anesthetist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.