Active NPI
Kelly A Carmack, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN1504
- Practice address
- 9326 Medical Plaza Dr
Ste B
Charleston, SC 29406-9138 - Phone
- (843) 553-7070
- Fax
- (843) 553-2223
- NPI assigned
- Mar 3, 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 | APN1504 | SC | Primary |
Addresses
Primary practice location
9326 Medical Plaza Dr
Ste B
Charleston, SC 29406-9138
Mailing address
9326 Medical Plaza Dr
Ste B
Charleston, SC 29406-9138
Phone (843) 553-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1071 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN1504 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates | Current | Accepting new patients | |
| South Baldwin Anesthesia, PC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palmetto Anesthesia Specialists LLC | Past | Accepting new patients | |
| Trident Anesthesia Group, LLC | Past | Accepting new patients | |
| St Vincents East | Past | Accepting new patients | |
| Mobile Anesthesia, LLC | Past | Accepting new patients |
Locations
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
1 Commerce Sq
Gadsden, AL 35901
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
1755 Highway 34 E
Ste 1100
Newnan, GA 30265
Phone (770) 252-7510
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gadsden, AL
- NPI 1821013905
-
- Anesthesiology Physician
- Birmingham, AL
- NPI 1851371850
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Foley, AL
- NPI 1922345438
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
-
- Critical Care Medicine (Internal Medicine) Physician
- Birmingham, AL
- NPI 1396353280
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
-
- Anesthesiology Physician
- Mt Pleasant, SC
- NPI 1588712103
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1336257211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821065269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9326 MEDICAL PLAZA DR",
"address_2": "STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069138",
"telephone_number": "843-553-7070",
"fax_number": "843-553-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9326 MEDICAL PLAZA DR",
"address_2": "STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069138",
"telephone_number": "843-553-7070",
"fax_number": "843-553-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMACK",
"first_name": "KELLY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APN1504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1071",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.