Michael Stephen Arnold, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Macon, GA
NPI 1720159544 · NPPES record last updated Jan 24, 2022
Key facts
- NPI
- 1720159544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 22969 (SC)
- Practice address
- 380 Hospital Dr
Suite 410
Macon, GA 31217 - Phone
- (478) 746-5644
- Fax
- (478) 633-4908
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prisma Health University Medical Group
Practice addresses (Care Compare)
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
- Prisma Health Richland Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191023001237 | SC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3870526205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN053794 CRNA | GA | MD | Certified Registered Nurse Anesthetist |
| APN0000009033 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Prisma Health University Medical Group | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Progressive Anesthesia Consultants, LLC | Past | Accepting new patients | |
| Anesthesia Associates of Dalton | Past | Accepting new patients | |
| Grady Memorial Hospital Corporation | Past | Accepting new patients |
Locations
158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN053794 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | APN0000009033 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN053794 CRNA | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 22969 | SC | Yes |
Addresses
Primary practice location
380 Hospital Dr
Suite 410
Macon, GA 31217
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000764244P | Medicaid | GA | |
| 000764244R | Medicaid | GA | |
| 580628385 | Other | GA | TRICARE |
| P01044804 | Other | GA | RAILROAD MEDICARE |
| 000764244T | Medicaid | GA | |
| AN2969 | Medicaid | SC | |
| 000764244S | Medicaid | GA |
Other providers in Macon, GA
- Justin Cody Armstrong
- Melissa Armstrong
- Emily Huckaby Arnold
- Jimmy W. Arnold
- Maurice Franklin Arnold
- Abhinav Arora
- Whitney Hardie Arthur
- Arvhamed Primary Care LLC
- Nformbuh Valery Asangmbeng
- Jimmy Robert Asbell III
All providers in Macon, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.