Individual provider Active NPI

John Paul Dexter, CRNA

  • Certified Registered Nurse Anesthetist
  • Florence, SC
National Provider Identifier
1740208131
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN639 Issued in SC
Practice address
805 Pamplico Hwy
Florence, SC 29505-6019
Phone
(843) 664-3301
Fax
(843) 664-3723
NPI assigned
Jul 17, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 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 APRN639 SC Primary

Addresses

Primary practice location

805 Pamplico Hwy
Florence, SC 29505-6019

Mailing address

PO Box 10925
Knoxville, TN 37939-0925
Phone (865) 766-8800

Other identifiers 1

IdentifierTypeStateIssuer
AN0162MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000905 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961444849 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kershaw Anesthesia LLCGroup PAC ID 2567764384, 18 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1315 Roberts St
Camden, SC 29020-3737
Phone (803) 713-6376

506 E Cheves St
Suite 202
Florence, SC 29506-2616
Phone (843) 777-7000

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6743NCMDPsychologist
APRN639SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kershaw Anesthesia, LLC CurrentSince Feb 1, 2023 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 8, 2021 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Sep 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Feb 5, 2022 Accepting new patients
QHG of South Carolina Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Dec 1, 2021 Accepting new patients
Carolina Family Care, Inc CurrentSince Oct 8, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Feb 7, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
McLeod Physician Associates II CurrentSince Feb 7, 2023 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Dec 18, 2023 Accepting new patients
Musc Community Physicians CurrentSince Feb 5, 2022 Accepting new patients
Pro Soma, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants of Florence Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

1920 Pickens St
Columbia, SC 29201
Phone (803) 254-7732

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

506 E Cheves St
#202
Florence, SC 29506

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1654560000000",
    "number": "1740208131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10925",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379390925",
            "telephone_number": "865-766-8800",
            "fax_number": "865-450-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056019",
            "telephone_number": "843-664-3301",
            "fax_number": "843-664-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "APRN639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0162",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.