Active NPI
Gerald Allen Davidson, BA, BSN, MSHS, CRNA
- Certified Registered Nurse Anesthetist
- Georgetown, SC
National Provider Identifier
1710965280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN 1312
- Practice address
- 606 Black River Rd
Georgetown Memorial Hosp Anesthesi
Georgetown, SC 29440-3304 - Phone
- (843) 527-7000
- NPI assigned
- Jan 5, 2006
- Last updated
- Jul 13, 2026
- 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 | APN 1312 | SC | Primary |
Addresses
Primary practice location
606 Black River Rd
Georgetown Memorial Hosp Anesthesi
Georgetown, SC 29440-3304
Mailing address
713 Windchime Aly
Mount Pleasant, SC 29464-7829
Phone (843) 437-4951
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
- Bachelor of Arts, Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 1312 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Anesthesia of South Carolina LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1073548590
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710965280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 WINDCHIME ALY",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647829",
"telephone_number": "843-437-4951",
"fax_number": "843-216-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BLACK RIVER RD",
"address_2": "GEORGETOWN MEMORIAL HOSP ANESTHESI",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403304",
"telephone_number": "843-527-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "GERALD",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "BA, BSN, MSHS, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN 1312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.