Individual provider Active NPI

Niel Hora

  • Certified Registered Nurse Anesthetist
  • Santa Rosa Beach, FL
National Provider Identifier
1609311836
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9355838 Issued in FL
Practice address
39 Full Moon LN
Santa Rosa Beach, FL 32459-2926
Phone
(901) 219-6858
NPI assigned
Dec 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9355838 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9355838 FL Primary

Addresses

Primary practice location

39 Full Moon LN
Santa Rosa Beach, FL 32459-2926

Mailing address

39 Full Moon LN
Santa Rosa Beach, FL 32459-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170503001642 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042597809 Reassigns benefits to 1 organization
I20200922000310 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042597809 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9355838FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 17, 2020 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jan 1, 2022 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2017 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

1200 Lower Fayetteville Rd
#A
Newnan, GA 30265
Phone (404) 881-1094

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1609311836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FULL MOON LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FULL MOON LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592926",
            "telephone_number": "901-219-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORA",
        "first_name": "NIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-26",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9355838",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9355838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.