Active NPI
Dennis Leo Glaude, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
National Provider Identifier
1689620536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN078329
- Practice address
- 380 Hospital Dr.
Suite 410
Macon, GA 31217-8014 - Phone
- (706) 282-4200
- Fax
- (706) 886-8045
- NPI assigned
- May 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN078329 | GA | Primary |
Addresses
Primary practice location
380 Hospital Dr.
Suite 410
Macon, GA 31217-8014
Mailing address
P.O. Box 2564
Macon, GA 31203
Phone (478) 746-5644
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580628385 | Other | GA | TRICARE |
| 000547797F | Medicaid | GA | |
| P00257335 | Other | GA | MEDICARE RAILROAD |
| 003105057A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN078329 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Currahee Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Macon LLP | Past | Accepting new patients |
Locations
125 Heard St
Elberton, GA 30635
163 Hospital Dr
Toccoa, GA 30577
Phone (706) 282-4200
Organizations & group practices 2
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
- Toccoa, GA
- NPI 1013502756
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Macon, GA
- NPI 1083720478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1689620536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "31203",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR.",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "312178014",
"telephone_number": "706-282-4200",
"fax_number": "706-886-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAUDE",
"first_name": "DENNIS",
"middle_name": "LEO",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN078329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "580628385",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000547797F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00257335",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003105057A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.