Active NPI
Sherrie Greathouse, CRNA
- Certified Registered Nurse Anesthetist
- Carrollton, GA
National Provider Identifier
1790749315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN071983
- Practice address
- 705 Dixie St
Carrollton, GA 30117-3818 - Phone
- (800) 232-5703
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN071983 | GA | Primary |
Addresses
Primary practice location
705 Dixie St
Carrollton, GA 30117-3818
Mailing address
PO Box 235019
Montgomery, AL 36123-5019
Phone (334) 279-1450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000806055F | Medicaid | GA | |
| 989890 | Other | GA | BCBS |
Other names 1
- Sherrie Yearty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049598 | GA | MD | Pediatrics Physician |
| RN071983 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Crescent Nurse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| West Ga. Nurse Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Warm Springs, GA
- NPI 1508818741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1275722845
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1790749315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235019",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235019",
"telephone_number": "334-279-1450",
"fax_number": "334-279-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "800-232-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREATHOUSE",
"first_name": "SHERRIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN071983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000806055F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "989890",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRIE",
"last_name": "YEARTY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.