Active NPI
Robert G Olds, CRNA
- Certified Registered Nurse Anesthetist
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA80823
- Practice address
- 4211 Trolley Line Rd
Aiken, SC 29801-2749 - Phone
- (803) 648-2840
- NPI assigned
- Jul 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA80823 | SC | Primary |
| Registered Nurse | 163W00000X | 80823 | SC |
Addresses
Primary practice location
4211 Trolley Line Rd
Aiken, SC 29801-2749
Mailing address
4211 Trolley Line Rd
Aiken, SC 29801-2749
Phone (803) 648-2840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0938 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421000367 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729074356 | Reassigns benefits to 2 organizations |
| I20151104003254 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729074356 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Care Services PA
Practice addresses (Care Compare)
1606 Ashley River Rd
Charleston, SC 29407-5902
Phone (843) 763-0503
2041 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3746
Phone (910) 223-1620
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.38 of 100
- Quality
- 77.5
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1136 | SC | MD | Marriage & Family Therapist |
| 80823 | SC | MD | Registered Nurse |
| CRNA80823 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Care Services, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Columbia Eye Surgery Center Inc | Past | Accepting new patients | |
| Columbia Eye Surg Center Inc | Past | Accepting new patients |
Locations
2041 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 223-7011
2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636
2541 N Queen St
Kinston, NC 28501
Phone (252) 527-3636
1606 Ashley River Rd
Charleston, SC 29407
Phone (843) 556-1285
3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Forest, VA
- NPI 1609833474
NC, Nurse Anesthetist, Certified Registered, SC
-
- Certified Registered Nurse Anesthetist
- Aiken, SC
- NPI 1568717247
SC
-
- Ophthalmologic Surgery Clinic/Center
- Columbia, SC
- NPI 1184686792
-
- Ambulatory Surgical Clinic/Center
- Columbia, SC
- NPI 1720175573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1679596233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 TROLLEY LINE RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012749",
"telephone_number": "803-648-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 TROLLEY LINE RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298012749",
"telephone_number": "803-648-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDS",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "CRNA80823",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "80823",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0938",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.