Deanna Holland Powell, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Waycross, GA
NPI 1639146830 · NPPES record last updated Apr 2, 2019
Key facts
- NPI
- 1639146830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN140357 (GA)
- Practice address
- 1900 Tebeau St
Waycross, GA 31501-6357 - Phone
- (912) 338-6511
- Fax
- (912) 338-6512
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bacon County Health Services, Inc.
Practice addresses (Care Compare)
302 S Wayne St
Bacon Co Hospital
Alma, GA 31510-0987
Phone (912) 632-8961
Hospital & facility affiliations
- Bacon County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050419001015 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4981642113 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Current |
Accepting new patients | |
| Bacon County Health Services, Inc. | Current |
Accepting new patients |
Locations
302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847
462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN140357 | GA | Yes |
Addresses
Primary practice location
1900 Tebeau St
Waycross, GA 31501-6357
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534720281C | Medicaid | GA | |
| P00352166 | Other | GA | RR MEDICARE INDIVIDUAL |
| 534720281B | Medicaid | GA |
Other providers in Waycross, GA
- Pineview Physical Therapy
- Anna Marie Pittard
- Barbara D Pittman
- Porter Healthcare Solutions LLC
- Shelonda A Porter
- Prasanna S. Srinagesh MD PC
- Prasanna Srinagesh MD PC
- Premiere Health & Wellness LLC
- Prime Transport and More LLC
- Charles E Pritchett
All providers in Waycross, 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 Apr 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.