Active NPI
Sergey Nikolayevich Yermakovich, CRNA
- Certified Registered Nurse Anesthetist
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6839
- Practice address
- 43 New Scotland Ave
Albany, NY 12208-3412 - Phone
- (518) 262-3125
- NPI assigned
- Nov 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 749616 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 6839 | NC | Primary |
Addresses
Primary practice location
43 New Scotland Ave
Albany, NY 12208-3412
Mailing address
1184 New Loudon Rd
Cohoes, NY 12047-4902
Phone (704) 222-8003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (336) 277-8757
Hospital & facility affiliations
- Novant Health Rowan Medical Center
- Carolinas Medical Center-Northeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6839 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Thomasville Medical Center, LLC | Single Specialty | Current | Accepting new patients |
| Medical Park Hospital LLC | Single Specialty | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Novant Health Matthews Medical Center LLC | Single Specialty | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Single Specialty | Current | Accepting new patients |
| Brunswick Community Hospital, LLC | Single Specialty | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Single Specialty | Current | Accepting new patients |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Single Specialty | Current | Accepting new patients |
| Novant Health Rowan Medical Center, LLC | Single Specialty | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Single Specialty | Current | Accepting new patients |
| Novant Health Mint Hill Medical Center, LLC | Single Specialty | Current | Accepting new patients |
| Novant Health Rowan Medical Center LLC | Single Specialty | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
Single Specialty
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Single Specialty
-
- Specialist
- Thomasville, NC
- NPI 1033160205
Single Specialty
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1215061049
-
- Ambulatory Surgical Clinic/Center
- Huntersville, NC
- NPI 1063641801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, NC
- NPI 1508843566
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1811599210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1184 NEW LOUDON RD",
"city": "COHOES",
"state": "NY",
"postal_code": "120474902",
"telephone_number": "704-222-8003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 NEW SCOTLAND AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083412",
"telephone_number": "518-262-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERMAKOVICH",
"first_name": "SERGEY",
"middle_name": "NIKOLAYEVICH",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "749616",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.