Individual provider Active NPI

Thomas Carl Kellogg, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1578629465
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN162721 Issued in GA
Practice address
530 S Jackson St
Louisville, KY 40202-1675
Phone
(502) 852-5851
Fax
(502) 852-3762
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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 RN162721 GA Primary

Addresses

Primary practice location

530 S Jackson St
Louisville, KY 40202-1675

Mailing address

3990 Brownwood Rd
Madison, GA 30650-4481
Phone (706) 717-1783

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WV, VA, MI, KS5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20070214000144 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193727576 Reassigns benefits to 4 organizations
I20160412001133 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193727576 Reassigns benefits to 1 organization
I20180521002390 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193727576 Reassigns benefits to 1 organization
I20210126003151 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193727576 Reassigns benefits to 1 organization
I20210806001597 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193727576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians

Practice addresses (Care Compare)

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

Hospital & facility affiliations

  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009689KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Jun 2, 2022 Accepting new patients
North Atlanta Anesthesia Professionals, LLC CurrentSince Oct 8, 2024 Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince May 23, 2021 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jul 28, 2013 Accepting new patients
Southern Crescent Anesthesiology, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Classic City Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Colquitt Regional Anesthesia, LLC Past Accepting new patients

Locations

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

3580 Piedmont Rd NE
Ste 207
Atlanta, GA 30305
Phone (404) 233-5385

3200 Downwood Cir NW
Ste 200
Atlanta, GA 30327
Phone (404) 351-1990

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

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

62742 Collections Ctr Dr
Chicago, IL 60693

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

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.

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1578629465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 BROWNWOOD RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504481",
            "telephone_number": "706-717-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-852-5851",
            "fax_number": "502-852-3762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "THOMAS",
        "middle_name": "CARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN162721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.