Individual provider Active NPI

William Martin Larkin Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Newnan, GA
National Provider Identifier
1538251970
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN033569 Issued in GA
Practice address
80 Newnan Station Drive, Suite a
Newnan, GA 30265
Phone
(770) 251-2060
Fax
(678) 854-9235
NPI assigned
Sep 29, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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 RN033569 GA Primary

Addresses

Primary practice location

80 Newnan Station Drive, Suite a
Newnan, GA 30265

Mailing address

PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060

Other identifiers 1

IdentifierTypeStateIssuer
RN033569OtherGALICENSE

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

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince May 2, 2014 Accepting new patients

Locations

605 N Westover Blvd
Albany, GA 31707
Phone (229) 434-4200

1048 E Forsyth St
Americus, GA 31709
Phone (229) 924-6011

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385

2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

1463 Klondike Rd SW
Ste C
Conyers, GA 30094
Phone (770) 483-9692

222 Perry Hwy
Hawkinsville, GA 31036
Phone (229) 200-4950

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

4650 Stone Mountain Hwy
Lilburn, GA 30047
Phone (678) 344-2450

3708 Northside Dr
Macon, GA 31210
Phone (478) 254-5303

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510

80 Newnan Station Dr
Ste A
Newnan, GA 30265

5555 Ptree Dunwoody Rd NE
Ste 190
Sandy Springs, GA 30342
Phone (404) 256-4457

5909 Peachtree Dunwoody Rd
Ste 600
Sandy Springs, GA 30328
Phone (770) 926-2276

5995 Spring St
Warm Springs, GA 31830
Phone (706) 632-4374

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1538251970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DRIVE, SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "WILLIAM",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN033569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN033569",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.