Active NPI
James David Wade, CRNA
- Certified Registered Nurse Anesthetist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209006566
- Practice address
- 805 Pamplico Hwy
Florence, SC 29505-6019 - Phone
- (843) 674-5000
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006566 | IL | Primary |
Addresses
Primary practice location
805 Pamplico Hwy
Florence, SC 29505-6019
Mailing address
PO Box 23321
New York, NY 10087-4321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041300787 | Other | IL | IL RN LICENSE NUMBER |
| 209006566 | Other | IL | APN LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 W Deyoung St
Suite 62959
Marion, IL 62959-5884
Phone (618) 998-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006566 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Marshall Browning Hospital Association | Current | Accepting new patients | |
| Marshall Browning Hospital Association | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
IL, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Du Quoin, IL
- NPI 1821099441
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
dba MBH East Medical Clinic
- Rural Health Clinic/Center
- Du Quoin, IL
- NPI 1912490277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783123200000",
"number": "1639223464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23321",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 PAMPLICO HWY",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056019",
"telephone_number": "843-674-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "JAMES",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2026-07-04",
"certification_date": "2026-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL RN LICENSE NUMBER",
"identifier": "041300787",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE #",
"identifier": "209006566",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "805 Pamplico Hwy",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295056019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Florence, SC
- Virtuous Primary Care
- Visionworks, Inc. (Visionworks)
- W Wallace Vaught Jr MD PC
- W. Dean Lorenz MD PC (Florence Rehabilitation Medicine)
- Cynthia K. Waddill, FNP
- Linda Wagner-Seiss, OTR/L
- Tori Smith Wagner, MS CCC-SLP
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0630)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3638)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2703)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.