Kevin Garvey, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Bremen, GA
NPI 1629019336 · NPPES record last updated Feb 3, 2009
Key facts
- NPI
- 1629019336
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-049632 (AL)
- Practice address
- 200 Allen Memorial Dr
Bremen, GA 30110-2012 - Phone
- (770) 824-2275
- Fax
- (770) 824-2275
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-049632 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace Thomson Hospital | Past | Accepting new patients | |
| TMC-West Georgia Anesthesia Associates Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-049632 | AL | Yes |
Addresses
Primary practice location
200 Allen Memorial Dr
Bremen, GA 30110-2012
Mailing address
PO Box 277368
Atlanta, GA 30384-7368
Phone (205) 979-5882
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-48255 | Other | AL | BLUE CROSS BLUE SHIELD |
Other providers in Bremen, GA
- David Farmer
- Christina Fischer
- Lori Fuller
- Sharon Garland
- Victoria Garner
- Ruby Victoria Gassaway
- Georgia CVS Pharmacy LLC
- Georgia Em-I Medical Services. LLC
- Emily Sampler Glass
- Grace Assisted Living of Bremen, LLC
All providers in Bremen, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.