Grayson Thomas Sandy, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Macon, GA
NPI 1669924015 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1669924015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN214138 (GA)
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (516) 945-3000
- Fax
- (704) 248-5537
- NPI assigned
- Nov 2, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
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
- American Anesthesiology Associates of Georgia LLC
Guardian Medical Services LLC
Practice addresses (Care Compare)
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-6399
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, GA, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161109001129 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002195328 | Reassigns benefits to 4 organizations |
| I20171201002494 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002195328 | Reassigns benefits to 2 organizations |
| I20190730000146 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6002195328 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129501 | AL | MD | Certified Registered Nurse Anesthetist |
| RN214138 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Current |
Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current |
Accepting new patients | |
| RCHP - Florence LLC | Current |
Accepting new patients | |
| RCHP - Florence LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Guardian Medical Services, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Huntsville Hospital Anesthesia | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| RCHP-Florence, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Namc Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Associates of Charleston, P.a. | Current |
Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870
245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673
8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012
201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
888 Pine St
Macon, GA 31201
Phone (478) 751-0527
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1129501 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 22654 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN214138 | GA | Yes |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
PO Box 945375
Atlanta, GA 30394-5375
Phone (516) 945-3000
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-3502
Phone (843) 792-1414
Other providers in Macon, GA
- Deanna Seward Sanders
- Elizabeth Ware Sanders
- Myrtle Huntley Sanders
- Rodney Sanders
- Shannon Sands
- Padmini Sangaraju
- Manojna P Sanjeev
- Viviane Elisabeth de Souza Santos Sachs
- John Warren Sapp
- Megan S Sapp
All providers in Macon, 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 Sep 25, 2024. 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.