Individual provider Active NPI

John Raymond King, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlotte, NC
National Provider Identifier
1609839836
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN0000131100 Issued in TN
Practice address
300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180
Phone
(704) 372-7974
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN0000131100 TN Primary
Certified Registered Nurse Anesthetist 367500000X 10355 TN

Addresses

Primary practice location

300 Billingsley Rd Ste 200
Charlotte, NC 28211-1180

Mailing address

PO Box 896138
Charlotte, NC 28289-6138
Phone (423) 639-0941

Other identifiers 2

IdentifierTypeStateIssuer
3633770MedicaidTN
4102708OtherTNBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041025000471 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820985856 Reassigns benefits to 4 organizations
I20190507001066 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820985856 Reassigns benefits to 8 organizations
I20220511001115 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820985856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wake Forest University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Gastroenterology and Hepatology PLLCGroup PAC ID 3870489412, shared by 3 NPIs, 76 clinicians
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians

Practice addresses (Care Compare)

15830 Ballantyne Medical PL
Suite 175
Charlotte, NC 28277-0763
Phone (704) 717-5549

2361 N Fraser St
Georgetown, SC 29440-6410
Phone (843) 527-3428

242 A 9TH Ave Dr NE
Hickory, NC 28601-3828
Phone (828) 327-6673

309 Alcove Rd
Mooresville, NC 28117-7632
Phone (704) 660-4055

Merit-based Incentive Payment System (MIPS)

Final score
95.22 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
84.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22508SCMDPhysical Medicine & Rehabilitation Physician
10355TNMDCertified Registered Nurse Anesthetist
RN0000131100TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Sep 4, 2023 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Apr 15, 2022 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Anesthesiology CurrentSince Sep 12, 2023 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 22, 2022 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Feb 22, 2022 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Apr 15, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince May 20, 2019 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Oct 25, 2023 Accepting new patients
Carolina Digestive Health Associates, PA CurrentSince Jan 19, 2021 Accepting new patients
Carolina Digestive Health Associates, PA PastSince Oct 29, 2023 Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients
Memorial Medical Center of East Texas Anesthesiology Past Accepting new patients
Volunteer Anesthesia United, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 27)

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

300 Billingsley Rd
Ste 200
Charlotte, NC 28211
Phone (704) 372-3350

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

704 Wh Smith Blvd
Greenville, NC 27834
Phone (252) 758-8181

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

309 Alcove Rd
Mooresville, NC 28117
Phone (704) 660-4055

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

2361 N Fraser St
Georgetown, SC 29440
Phone (843) 436-1000

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

3944 Ranch Road 620 S
Bldg 8
Bee Cave, TX 78738
Phone (512) 263-1113

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519

1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1609839836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896138",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896138",
            "telephone_number": "423-639-0941",
            "fax_number": "423-638-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BILLINGSLEY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111180",
            "telephone_number": "704-372-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN0000131100",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633770",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "4102708",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.