Active NPI
Thomas Chitwood III, CRNA
- Certified Registered Nurse Anesthetist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN210197
- Practice address
- 3000 Hospital Blvd
Roswell, GA 30076-4915 - Phone
- (678) 221-1079
- NPI assigned
- Jun 20, 2016
- Last updated
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | RN210197 | GA | Primary |
Addresses
Primary practice location
3000 Hospital Blvd
Roswell, GA 30076-4915
Mailing address
3000 Hospital Blvd
Roswell, GA 30076-4915
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210197 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Greater Atlanta Anesthesia, LLC | Single Specialty | Current | Accepting new patients |
| North Fulton Anesthesia Associates PC | Single Specialty | Current | Accepting new patients |
| WGG Anesthesia, LLC | Single Specialty | Current | Accepting new patients |
| TMC-West Georgia Anesthesia Associates Inc. | Single Specialty | Current | Accepting new patients |
| Digestive Healthcare of Ga, P.C. | Single Specialty | Past | Accepting new patients |
Locations
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240
134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
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.
-
- Anesthesiology Physician
- Carrollton, GA
- NPI 1740252022
Single Specialty
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1285043158
Single Specialty
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467445262
Single Specialty
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1578843280
Single Specialty
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1558365247
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1699125849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HOSPITAL BLVD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HOSPITAL BLVD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764915",
"telephone_number": "678-221-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITWOOD",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN210197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.