Individual provider Active NPI

Jonathan Hydrick, CRNA

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1740750462
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN228239 Issued in GA
Practice address
1199 Prince Ave
Athens, GA 30606-2797
Phone
(706) 475-0000
NPI assigned
Nov 26, 2018
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN228239 GA Primary
Registered Nurse 163W00000X RN228239 GA

Addresses

Primary practice location

1199 Prince Ave
Athens, GA 30606-2797

Mailing address

1199 Prince Ave
Anesthesia Dept
Athens, GA 30606-2797
Phone (706) 475-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190329000933 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204176274 Reassigns benefits to 2 organizations
I20241107000970 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204176274 Reassigns benefits to 8 organizations
I20250108002890 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204176274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Bestgate Anesthesia LLCGroup PAC ID 9739309766, 4 clinicians

Practice addresses (Care Compare)

2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000

820 Bestgate Rd
Suite 1a
Annapolis, MD 21401-3404
Phone (410) 224-2116

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Gastroenterology, LLC Single Specialty CurrentSince Dec 29, 2024 Accepting new patients
Pikesville MD Endoscopy ASC LLC Current Accepting new patients
SG Anesthesia LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Anesthesia Solutions, LLC Single Specialty CurrentSince Oct 29, 2024 Accepting new patients
Northeast Georgia Anesthesiology LLC Single Specialty CurrentSince Nov 19, 2023 Accepting new patients
Medstar Medical Group II LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Easton Anesthesia Associates LLC Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2025 Accepting new patients
Bestgate Anesthesia LLC Single Specialty CurrentSince Feb 10, 2025 Accepting new patients
Columbia Outpatient Sedation LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Laurel MD Endoscopy ASC LLC Current Accepting new patients
Corridor Anesthesia, L.L.C. Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
JC Anesthesia LLC Single Specialty CurrentSince Aug 25, 2023 Accepting new patients
Anesthesia Company, LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Dr Wendy Kloesz, M.D., P.a Single Specialty Past Accepting new patients
Olney Endoscopy Center PastSince Dec 1, 2024 Accepting new patients
Jahangir Khan MD Single Specialty Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3320 Old Jefferson Rd
Ste 400
Athens, GA 30607
Phone (706) 400-4262

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333

1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108

1111 Beards Hill Rd
Ste 700
Aberdeen, MD 21001
Phone (240) 394-4365

1419 Forest Dr
Ste 105
Annapolis, MD 21403

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

820 Bestgate Rd
Ste 1A
Annapolis, MD 21401

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

511 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6486

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

7350 Van Dusen Rd
Ste 230
Laurel, MD 20707
Phone (301) 498-5500

7350 Van Dusen Rd
Ste 250
Laurel, MD 20707
Phone 3014985500116

3407 Olandwood Ct
Unit 103
Olney, MD 20832
Phone (301) 570-8671

1838 Greene Tree Rd
Ste 180
Pikesville, MD 21208
Phone (410) 358-1800

1838 Greene Tree Rd
Ste 400
Pikesville, MD 21208
Phone (410) 602-9343

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 18

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 18

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1740750462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "address_2": "ANESTHESIA DEPT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-475-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDRICK",
        "first_name": "JONATHAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN228239",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN228239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.