Rohit Kumar Avula, CRNA | NPI 1669919304

Key facts

NPI: 1669919304
Entity type: Individual (NPI type 1)
Primary specialty: Certified Registered Nurse Anesthetist 367500000X
License: RN223461 (GA)
Practice address: 80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194
Phone: (770) 251-2060
Fax: (678) 854-9235
NPI assigned: Jan 19, 2017
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Sentry Anesthesia Management, LLC Anesthesiology Physician · Newnan, GA · NPI 1134544794

Medicare reassignment Care Compare group NPD GA

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

West Georgia Medical Center, Inc. General Acute Care Hospital · Lagrange, GA · NPI 1821221144

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Certified Registered Nurse Anesthetist (Crna)
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Sentry Anesthesia Management, LLC (170 clinicians)

Practice addresses (Care Compare)

1755 Hwy 34 E 1100
Newnan, GA 30265-3184
Phone (770) 252-7510

Hospital & facility affiliations

Wellstar West Georgia Medical Center Hospital · Lagrange, GA · CCN 110016

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170306001435	GA	Practitioner - Certified Registered Nurse Anesthetist (Crna)	3173807468	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Sentry Anesthesia Management, LLC		Current since Mar 1, 2017	Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

80 Newnan Station Dr
Ste A
Newnan, GA 30265

1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Certified Registered Nurse Anesthetist	367500000X	RN223461	GA	Yes

Addresses

Primary practice location

80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194

Mailing address

125 Woodchase
Lagrange, GA 30240-9742
Phone (770) 251-2060

Other providers in Newnan, GA

All providers in Newnan, 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 Jan 19, 2017. 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.

Verify at the official NPI Registry.