Individual provider Active NPI

James Randal Sellars, CRNA

  • Certified Registered Nurse Anesthetist
  • Tamc, HI
National Provider Identifier
1730106451
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN190555 Issued in GA
Practice address
1 Jarrett White Rd
Tamc, HI 96859-5001
Phone
(808) 433-5078
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN190555 GA Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tamc, HI 96859-5001

Mailing address

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

Other identifiers 1

IdentifierTypeStateIssuer
899271496AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080207000059 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739106063 Reassigns benefits to 4 organizations
I20181218001955 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739106063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1350 Walton Way
Augusta, GA 30901-2612
Phone (478) 746-7577

Hospital & facility affiliations

  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
  • University McDuffie County Regional Medical Center Hospital, Thomson, GA, CCN 110111

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.72 of 100Reported as group
Quality
77.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center, PC CurrentSince Sep 24, 2021 Accepting new patients
Anesthesia Consultants of Augusta, LLC Anesthesiology CurrentSince Oct 22, 2022 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Oct 9, 2022 Accepting new patients
Mulkey Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Sep 28, 2021 Accepting new patients
The Interventional Spine and Pain Management Center PC CurrentSince Sep 24, 2021 Accepting new patients
Digestive Disease Group PA CurrentSince May 1, 2019 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Cpmsc Canton, LLC CurrentSince Sep 28, 2021 Accepting new patients
Anesthesia and Pain Medicine Anesthesiology Past Accepting new patients
Southern Anesthesia Service Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

811 13th St
Ste 21
Augusta, GA 30901
Phone (706) 396-3700

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

915 Russell St
Augusta, GA 30904
Phone (706) 737-4255

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

103 Liner Dr
Greenwood, SC 29646
Phone (864) 227-3636

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1730106451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "580-765-3321",
            "fax_number": "580-765-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TAMC",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLARS",
        "first_name": "JAMES",
        "middle_name": "RANDAL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN190555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899271496A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamc, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.

Verify at the official NPI Registry.