Individual provider Active NPI

Jeffrey Elliott Cryder, CRNA

  • Certified Registered Nurse Anesthetist
  • Macon, GA
National Provider Identifier
1780842633
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN166777 Issued in GA
Practice address
179 Mason Philip Drive
Macon, GA 31216-7366
Phone
(706) 319-7470
NPI assigned
May 28, 2008
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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 RN166777 GA Primary

Addresses

Primary practice location

179 Mason Philip Drive
Macon, GA 31216-7366

Mailing address

179 Mason Philip Dr
Macon, GA 31216-7366
Phone (706) 319-7470

Other identifiers 2

IdentifierTypeStateIssuer
812134122AMedicaidGA
812134122BMedicaidGA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080623000215 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476624255 Reassigns benefits to 15 organizations
I20171020000650 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476624255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep EzzyGroup PAC ID 4486920295, 23 clinicians
Nmda Anesthesia LLCGroup PAC ID 7113193541, 4 clinicians
Vertex Anesthesia Associates LLCGroup PAC ID 8022547306, 16 clinicians
Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 230
Roswell, GA 30076-5725
Phone (770) 962-3642

158 Clinic Ave
Carrollton, GA 30117-4414
Phone (770) 834-1008

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

4060 Johns Creek Pkwy
Suwanee, GA 30024-1230
Phone (404) 805-6167

4060 Johns Creek Pkwy E
Johns Creek, GA 30024-1230
Phone (678) 615-3511

6326 Peake Rd
Macon, GA 31210-3960
Phone (803) 252-7979

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN166777GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 2016 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Sleep Ezzy CurrentSince Jun 22, 2021 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Nmda Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2016 Accepting new patients
Eminence Anesthesia LLC CurrentSince Mar 31, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Nov 22, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2025 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2016 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2016 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2016 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
South Atlanta Vascular Institute, LLC PastSince Apr 15, 2019 Accepting new patients
Sentry Anesthesia Management, LLC PastSince Jan 2, 2020 Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients
Georgia Interventional Pain - C, LLC PastSince Jun 22, 2021 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Oct 1, 2021 Accepting new patients

Locations (25 of 72)

5238 Mason Corbin Ct
Ste 101
Fort Myers, FL 33907
Phone (239) 489-3166

619 SW Baya Dr
Ste 102
Lake City, FL 32025
Phone (386) 361-3400

308 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 426-2565

1950 SW 18th Ct
Ocala, FL 34471
Phone (352) 789-6575

1881 W Kennedy Blvd
Ste C
Tampa, FL 33606
Phone (813) 693-5000

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

2300 Dawson Rd
Ste 100
Albany, GA 31707
Phone (229) 888-6466

2308 Palmyra Rd
Albany, GA 31701
Phone (229) 888-2395

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

2405 Osler Ct
Ste 100
Albany, GA 31707
Phone (229) 317-2346

414 5th Ave
Albany, GA 31701
Phone (229) 432-9515

531 7th Ave
Albany, GA 31701
Phone (229) 883-3535

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

1620 Prince Ave
Athens, GA 30606
Phone (706) 546-0170

3320 Old Jefferson Rd
Ste 100
Athens, GA 30607
Phone (706) 353-3600

1718 Peachtree St NW
Ste 360
Atlanta, GA 30309
Phone (678) 995-5068

3886 Princeton Lakes Way SW
Ste 100
Atlanta, GA 30331
Phone (404) 768-1133

1303 Dantignac St
Ste 2500
Augusta, GA 30901
Phone (706) 722-6900

1111 Glynco Pkwy
Brunswick, GA 31525
Phone (912) 262-6552

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

2500 Starling St
Ste 604
Brunswick, GA 31520
Phone (912) 280-9977

3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024

3221 Glynn Ave
Unit 100
Brunswick, GA 31520
Phone (912) 466-9111

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1780842633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MASON PHILIP DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312167366",
            "telephone_number": "706-319-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MASON PHILIP DRIVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312167366",
            "telephone_number": "706-319-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRYDER",
        "first_name": "JEFFREY",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN166777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812134122A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812134122B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.