Pee Dee Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PEE DEE ANESTHESIA

Practice address

2928 E Highway 76
Mullins, SC 29574-6039

Phone

(843) 431-2000

NPI assigned

May 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard C Johnson, CRNANPI 1578506929

Title

President

Phone

(843) 431-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard C Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Mullins, SC
  • NPI 1578506929

  Nurse Anesthetist, Certified Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821056110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762429",
            "telephone_number": "843-651-2624",
            "fax_number": "843-357-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 E HIGHWAY 76",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295746039",
            "telephone_number": "843-431-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEE DEE ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-431-2000",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0505",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Home Medical Products, Inc.
• Palmetto Medical Care LLC
• Alexandra Parker, RD, LD
• Patient Response Organization Inc
• Alicia Paul
• Pee Dee OBGYN Assoc., PA
• Perioperative Medicine Consultants, LLC
• Crystal Evans Perry, AGNP-C
• Physicians Healthcare of Mullins
• Morgan Causey Pierce, PHARM.D.

• Certified Registered Nurse Anesthetist in Mullins, SC
• Providers in Mullins, SC by specialty
• Certified Registered Nurse Anesthetist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.