Individual provider Active NPI

Winston Thalbert King III, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, SC
National Provider Identifier
1508834243
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
646 Issued in SC
Practice address
701 Grove Rd
Greenville, SC 29605-4210
Phone
(864) 455-3076
Fax
(864) 455-4135
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 646 SC Primary

Addresses

Primary practice location

701 Grove Rd
Greenville, SC 29605-4210

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Other identifiers 1

IdentifierTypeStateIssuer
AN0519MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100514000339 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587792312 Reassigns benefits to 5 organizations
I20191004001368 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587792312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

1330 Taylor St
Columbia, SC 29201-2915
Phone (803) 296-5137

67 Creekside Park CT
Greenville, SC 29615-4810
Phone (864) 522-3700

Hospital & facility affiliations

  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
39534SCMDRegistered Nurse
646SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Prisma Health-Upstate CurrentSince Mar 9, 2020 Accepting new patients
Prisma Health-Midlands Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2006 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 27, 2019 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2016 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince May 1, 2022 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2022 Accepting new patients
Prisma Health-Midlands Current Accepting new patients
Prisma Health-Midlands CurrentSince Oct 21, 2006 Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

1413 John B White SR Blvd
Ste D
Spartanburg, SC 29306
Phone (864) 587-5768

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

304 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-0700

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1508834243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-3076",
            "fax_number": "864-455-4135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "WINSTON",
        "middle_name": "THALBERT",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0519",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.