Individual provider Active NPI

Donna B Proctor, CRNA

  • Certified Registered Nurse Anesthetist
  • Anderson, SC
National Provider Identifier
1801850078
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2384 Issued in SC
Practice address
800 N Fant St
Anderson, SC 29621-5708
Phone
(864) 512-1890
NPI assigned
Apr 14, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 2384 SC Primary

Addresses

Primary practice location

800 N Fant St
Anderson, SC 29621-5708

Mailing address

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1417

Other practice location 1

7 Independence Pt Fl 4
Greenville, SC 29615-4566
Phone (864) 522-3700

Other identifiers 2

IdentifierTypeStateIssuer
AN0856MedicaidSC
967125945AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000507 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406836576 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Healthcare Resources IncGroup PAC ID 1658283593, 19 clinicians

Practice addresses (Care Compare)

3911 Hwy 17
Suite B
Murrells Inlet, SC 29576-5014
Phone (866) 877-2762

7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2384SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 2, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Under Anesthesia CurrentSince Jun 10, 2017 Accepting new patients
Piedmont Pathology Associates PA Current Accepting new patients
Anmed Health CurrentSince Apr 8, 2002 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Gastroenterology Associates, PA CurrentSince May 16, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 2, 2024 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Dec 8, 2018 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Gastroenterology Associates, PA CurrentSince May 16, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Anmed Health Nurse Anesthetist, Certified Registered CurrentSince Apr 8, 2002 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Spartanburg Medical Center CurrentSince Apr 1, 2023 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Greenville Health System Past Accepting new patients
American Anesthesiology of South Carolina, LLC Past Accepting new patients
Jay Godines, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

125 Halton Rd
Ste 200
Greenville, SC 29607

5 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 272-3409

5 Stevens St
Ste 200
Greenville, SC 29605
Phone (864) 250-6484

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

3911 Highway 17
Ste B
Murrells Inlet, SC 29576
Phone (843) 299-2140

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

1700 Skylyn Dr
Spartanburg, SC 29307
Phone (864) 573-3123

391 Serpentine Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 583-6381

720 N Pine St
Spartanburg, SC 29303
Phone (864) 560-5800

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

420 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-4402

Organizations & group practices 24

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 24

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1801850078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "864-512-1417",
            "fax_number": "864-512-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "864-512-1890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Independence Pt Fl 4",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154566",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "DONNA",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0856",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "967125945A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

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