Active NPI
Arthur Lynn Womble, CRNA, PHD
- Certified Registered Nurse Anesthetist
- Athens, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-048920
- Practice address
- 700 W Market St
Athens, AL 35611-2457 - Phone
- (256) 233-9424
- NPI assigned
- May 23, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 070708-1568 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN196015 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-048920 | AL | Primary |
Addresses
Primary practice location
700 W Market St
Athens, AL 35611-2457
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1666904 | Medicaid | LA |
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2548 Weems Rd
Columbus, GA 31909-6248
Phone (706) 323-8803
Hospital & facility affiliations
- Phoebe Sumter Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-048920 | AL | MD | Certified Registered Nurse Anesthetist |
| RN196015 | GA | MD | Certified Registered Nurse Anesthetist |
| 070708-1568 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentry Anesthesia Management, LLC | Single Specialty | Current | Accepting new patients |
Locations
605 N Westover Blvd
Albany, GA 31707
Phone (229) 434-4200
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000
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.
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1699778803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73709",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713709",
"telephone_number": "770-251-2060",
"fax_number": "678-854-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W MARKET ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112457",
"telephone_number": "256-233-9424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMBLE",
"first_name": "ARTHUR",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "CRNA, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "070708-1568",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN196015",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-048920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1666904",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.