Active NPI
James A Joseph, CRNA
- Certified Registered Nurse Anesthetist
- Lavonia, GA
National Provider Identifier
1598801524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN079744
- Practice address
- 367 Clear Creek Pkwy
Lavonia, GA 30553-4173 - Phone
- (706) 356-7800
- Fax
- (706) 567-6036
- NPI assigned
- Jan 29, 2007
- Last updated
- Dec 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | RN079744 | GA | Primary |
Addresses
Primary practice location
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Mailing address
4523 Highway 246 N
Hodges, SC 29653-9705
Phone (864) 374-7363
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025919180E | Medicaid | GA | |
| 025919180B | Medicaid | GA | |
| 025919180F | Medicaid | GA | |
| 025919810A | 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 |
|---|---|---|---|
| Ty Cobb Healthcare System | Past | Accepting new patients | |
| Ty Cobb Healthcare System, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cobb Memorial Hospital
- Rural Acute Care Hospital
- Royston, GA
- NPI 1083711691
-
dba Carnesville Family Practice
- Specialist
- Carnesville, GA
- NPI 1245533132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1598801524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4523 HIGHWAY 246 N",
"city": "HODGES",
"state": "SC",
"postal_code": "296539705",
"telephone_number": "864-374-7363",
"fax_number": "706-567-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 CLEAR CREEK PKWY",
"city": "LAVONIA",
"state": "GA",
"postal_code": "305534173",
"telephone_number": "706-356-7800",
"fax_number": "706-567-6036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "JAMES",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN079744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025919180E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025919180B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025919180F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025919810A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lavonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.