Individual provider Active NPI

Carmen E Potts, CRNA

  • Certified Registered Nurse Anesthetist
  • Warner Robins, GA
National Provider Identifier
1497087134
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN180916 Issued in GA
Practice address
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone
(800) 232-5703
Fax
(334) 395-4110
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 RN180916 GA Primary

Addresses

Primary practice location

1601 Watson Blvd
Warner Robins, GA 31093-3431

Mailing address

PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000648 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901095827 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians
Integrated Anesthesia Solutions LLCGroup PAC ID 2466972377, 22 clinicians

Practice addresses (Care Compare)

2500 Starling St
Suite 604
Brunswick, GA 31520-4271
Phone (912) 280-9977

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone (478) 474-2200

874 Lanier Ave W
Suite 100
Fayetteville, GA 30214-7659
Phone (770) 461-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN180916GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2024 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Gastro South Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2024 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2024 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2024 Accepting new patients

Locations

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

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

901 Griffin Ave
Eastman, GA 31023
Phone (478) 374-4000

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

112 Arkwright Lndg
Macon, GA 31210
Phone (478) 471-9779

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

249 Sheraton Blvd
Macon, GA 31210
Phone (478) 241-2780

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

577 Mulberry St
Ste 110
Macon, GA 31201
Phone (240) 469-2179

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

320 Margie Dr
Warner Robins, GA 31088
Phone (478) 746-2888

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1497087134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235019",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361235019",
            "telephone_number": "334-279-1450",
            "fax_number": "334-395-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933431",
            "telephone_number": "800-232-5703",
            "fax_number": "334-395-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "CARMEN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN180916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.