Individual provider Active NPI

Hannah Heath Shelley

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
National Provider Identifier
1750855185
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN283288 Issued in GA
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(912) 350-8000
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 RN283288 GA Primary

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

11 Settlers PT
Savannah, GA 31406-3235
Phone (704) 634-9541

Other names 1

  • Hannah Heath Fowler Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190402001143 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466793344 Reassigns benefits to 6 organizations
I20210422002390 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466793344 Reassigns benefits to 1 organization

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 of Coastal Georgia LLCGroup PAC ID 4587831748, 13 clinicians
Low Country Anesthesia, PAGroup PAC ID 8729063797, 62 clinicians

Practice addresses (Care Compare)

519 Stephenson Ave
Savannah, GA 31405-5969
Phone (912) 354-9447

955 Ribaut Rd
Beaufort, SC 29902-5441
Phone (800) 228-0249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN283288GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Low Country Anesthesia, PA CurrentSince Jan 6, 2021 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Feb 11, 2019 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jan 1, 2022 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Jul 27, 2021 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Apr 18, 2021 Accepting new patients
Anesthesia of Coastal Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1139 Lexington Ave
Ste B
Savannah, GA 31404
Phone (912) 303-4200

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

519 Stephenson Ave
Savannah, GA 31405

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1750855185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SETTLERS PT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063235",
            "telephone_number": "704-634-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "HANNAH",
        "middle_name": "HEATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN283288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "FOWLER",
            "middle_name": "HEATH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.