Organization Active NPI

Nmda Crna Services

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1497181572
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
NMDA CRNA SERVICES
Practice address
4080 McGinnis Ferry Rd
Suite 102
Alpharetta, GA 30005-3948
Phone
(888) 872-8088
Fax
(478) 974-0110
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Ms. Jared Deraney, CRNA
Title
President
Phone
(866) 458-0036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

4080 McGinnis Ferry Rd
Suite 102
Alpharetta, GA 30005-3948

Mailing address

PO Box 6377
Warner Robins, GA 31095-6377
Phone (866) 458-0036

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

410 Peachtree Pkwy
Ste 4200
Cumming, GA 30041
Phone (770) 664-6900

705 Jesse Jewell Pkwy SE
Ste 125
Gainesville, GA 30501
Phone (678) 640-4679

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1497181572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6377",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956377",
            "telephone_number": "866-458-0036",
            "fax_number": "478-974-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053948",
            "telephone_number": "888-872-8088",
            "fax_number": "478-974-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMDA CRNA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "DERANEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-458-0036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.