Active NPI
Patrick McGough, RN
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9535788
- Practice address
- 13830 Waterbury CT Apt 103
Fort Myers, FL 33919-5707 - Phone
- (478) 954-2631
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN9535788 | FL | Primary |
Addresses
Primary practice location
13830 Waterbury CT Apt 103
Fort Myers, FL 33919-5707
Mailing address
13830 Waterbury CT Apt 103
Fort Myers, FL 33919-5707
Phone (478) 954-2631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240819003265 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4183162340 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1230 Baxter St
Athens, GA 30606-3712
Phone (706) 543-3449
651 S Milledge Ave
Athens, GA 30605-1250
Phone (706) 543-3449
Hospital & facility affiliations
- St Mary'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9535788 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Athens | Current | Accepting new patients |
Locations
1500 Oglethorpe Ave
Ste 2100
Athens, GA 30606
Phone (706) 425-5437
651 S Milledge Ave
Athens, GA 30605
Phone (706) 546-9290
Interoperability endpoints
- pmcgough3385227@direct.trinity-health.org
Organizations & group practices 1
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.
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": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1497447478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13830 WATERBURY CT APT 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195707",
"telephone_number": "478-954-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13830 WATERBURY CT APT 103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339195707",
"telephone_number": "478-954-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOUGH",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9535788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.