Active NPI
Beth Packett Hackney, CRNA
- Certified Registered Nurse Anesthetist
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN045349
- Practice address
- 330 Turner McCall Blvd SW
Rome, GA 30165-5630 - Phone
- (706) 802-2000
- Fax
- (706) 233-9846
- NPI assigned
- Sep 21, 2005
- Sex
- Female
- Sole proprietor
- No
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 | RN045349 | GA | Primary |
Addresses
Primary practice location
330 Turner McCall Blvd SW
Rome, GA 30165-5630
Mailing address
PO Box 102186
Atlanta, GA 30368-2186
Phone (800) 919-1190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000556619E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Group Services, LLC | Current | Accepting new patients | |
| Georgia Group Services, LLC | Current | Accepting new patients | |
| Redmond Anesthesia and Pain Treatment, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Redmond Anesthesia Services LLC | Past | Accepting new patients | |
| Calhoun Anesthesia P C | Past | Accepting new patients | |
| Harbin Clinic, LLC | Past | Accepting new patients | |
| Preferred Anesthesia Consultants LLC | Past | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
330 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 802-2000
16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Calhoun, GA
- NPI 1629007539
-
- Ambulatory Surgical Clinic/Center
- Cartersville, GA
- NPI 1467016055
-
- Anesthesiology Physician
- Rome, GA
- NPI 1356334148
-
- Anesthesiology Physician
- Rome, GA
- NPI 1063679231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1497741805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102186",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682186",
"telephone_number": "800-919-1190",
"fax_number": "706-737-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 TURNER MCCALL BLVD SW",
"city": "ROME",
"state": "GA",
"postal_code": "301655630",
"telephone_number": "706-802-2000",
"fax_number": "706-233-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKNEY",
"first_name": "BETH",
"middle_name": "PACKETT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-21",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN045349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000556619E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.