Individual provider Active NPI

Timothy B Harris, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1619358652
Registry record updated Jan 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN206940 Issued in GA
Practice address
777 Hemlock St
Macon, GA 31201-2102
Phone
(478) 633-2147
Fax
(478) 742-9670
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2019

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 RN206940 GA
Certified Registered Nurse Anesthetist 367500000X RN206940 GA Primary

Addresses

Primary practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831003088 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183930506 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN206940GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2020 Accepting new patients
Guardian Medical Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 27, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 21, 2023 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Sep 1, 2016 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Lala Land Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2017 Accepting new patients
Ams Southeast LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2019 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations (25 of 48)

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

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

1111 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 262-6552

3221 Glynn Ave
Unit 100
Brunswick, GA 31520
Phone (912) 466-9111

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000

795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

4159 Mill St NE
Covington, GA 30014
Phone (770) 786-1234

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1150 Kirkland Ln
Ste B
Douglas, GA 31533
Phone (912) 384-6630

326 Shirley Ave
Douglas, GA 31533
Phone (404) 606-2069

314 Westside Dr
Douglas, GA 31533

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

4030 Riverside Park Blvd
Macon, GA 31210
Phone (478) 474-2200

800 1st St
Ste 110
Macon, GA 31201
Phone (478) 743-3466

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

Organizations & group practices 11

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 2

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547337600000",
    "number": "1619358652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-2147",
            "fax_number": "478-742-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN206940",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN206940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; 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.