Individual provider Active NPI

Laura Poulsen King, CRNA

  • Certified Registered Nurse Anesthetist
  • Cartersville, GA
National Provider Identifier
1790250728
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN241826 Issued in GA
Practice address
960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone
(770) 382-1530
NPI assigned
Oct 5, 2018
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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 RN241826 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129

Mailing address

222 Carnes Rd SW
Cartersville, GA 30120-6827
Phone (770) 598-3605

Other names 1

  • Laura Susanne Poulsen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318002748 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375883978 Reassigns benefits to 10 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
Dpi of Georgia LLCGroup PAC ID 0941546923, 30 clinicians

Practice addresses (Care Compare)

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (225) 923-0030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Radiance Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 31, 2023 Accepting new patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2022 Accepting new patients
Mulkey Anesthesiology Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Vertex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2024 Accepting new patients
Grand Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2025 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Mar 1, 2024 Accepting new patients
Radius Anesthesia of Georgia LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

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

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

3870 Medical Park Dr
Ste 100
Austell, GA 30106

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

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

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

958 Joe Frank Harris Pkwy SE
Ste 107
Cartersville, GA 30120
Phone (678) 605-9309

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029

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

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

577 Mulberry St
Ste 110
Macon, GA 31201
Phone (240) 469-2179

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

165 Vann St NE
Marietta, GA 30060
Phone (770) 422-9856

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

100 Three Rivers Dr NE
Ste B
Rome, GA 30161
Phone (706) 292-0400

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

1468 Montreal Rd
Ste 200
Tucker, GA 30084
Phone (770) 638-1400

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Organizations & group practices 11

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.

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1790250728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CARNES RD SW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206827",
            "telephone_number": "770-598-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOE FRANK HARRIS PKWY SE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202129",
            "telephone_number": "770-382-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LAURA",
        "middle_name": "POULSEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN241826",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "POULSEN",
            "middle_name": "SUSANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.