Active NPI
Mary Virginia Clare, CRNA
- Certified Registered Nurse Anesthetist
- Girard, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN118261
- Practice address
- 2786 Stony Bluff Rd
Girard, GA 30426-3733 - Phone
- (912) 829-3510
- Fax
- (912) 829-3510
- NPI assigned
- May 18, 2011
- Last updated
- May 18, 2011
- Sex
- Female
- 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 | RN118261 | GA | Primary |
Addresses
Primary practice location
2786 Stony Bluff Rd
Girard, GA 30426-3733
Mailing address
2786 Stony Bluff Rd
Girard, GA 30426-3733
Phone (912) 829-3510
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
- Medical College of Georgia School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
455 Philip Blvd
Suite 138
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN118261 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sleep Ezzy | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams Southeast LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia of Coastal Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Au Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Statesboro Hma Physician Management LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
6094 14th St W
Ste 122
Bradenton, FL 34207
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
455 Philip Blvd
Ste 138
Lawrenceville, GA 30046
892 Legacy Park Dr
Lawrenceville, GA 30043
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
519 Stephenson Ave
Savannah, GA 31405
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
728 E 67th St
Savannah, GA 31405
Phone (912) 352-3120
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
Organizations & group practices 8
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.
-
- Pain Medicine (Anesthesiology) Physician
- Lawrenceville, GA
- NPI 1154852820
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487921581
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Savannah, GA
- NPI 1831440478
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1487107157
GA, Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Statesboro, GA
- NPI 1558412023
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1730472127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 STONY BLUFF RD",
"city": "GIRARD",
"state": "GA",
"postal_code": "304263733",
"telephone_number": "912-829-3510",
"fax_number": "912-829-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2786 STONY BLUFF RD",
"city": "GIRARD",
"state": "GA",
"postal_code": "304263733",
"telephone_number": "912-829-3510",
"fax_number": "912-829-3510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARE",
"first_name": "MARY",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN118261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Girard, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.