Active NPI
Susanna Grace Julian, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28896
- Practice address
- 10 McClennan Banks Drive
Charleston, SC 29425-1711 - Phone
- (843) 792-1414
- NPI assigned
- Jun 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 131214 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28896 | SC | Primary |
Addresses
Primary practice location
10 McClennan Banks Drive
Charleston, SC 29425-1711
Mailing address
4212 Warren Rd
Birmingham, AL 35213-2727
Phone (404) 444-0360
Other practice location 1
1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, TN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 29TH Ave N
Nashville, TN 37203-1448
Phone (615) 327-4304
110 29TH N Ave
Nashville, TN 37203-1448
Phone (615) 327-4304
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Tristar Centennial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131214 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical University Hospital Authority | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
2637 Valleydale Rd
#200
Hoover, AL 35244
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
10 McClennan Banks Dr
Charleston, SC 29401
Phone (843) 330-9824
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Nashville, TN
- NPI 1215932413
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1508480948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 WARREN RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352132727",
"telephone_number": "404-444-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MCCLENNAN BANKS DRIVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294251711",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [
{
"address_1": "1600 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331711",
"country_code": "US",
"telephone_number": "205-638-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JULIAN",
"first_name": "SUSANNA",
"middle_name": "GRACE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-01",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "131214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "28896",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "10 McClennan Banks Drive",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294251711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.