Individual provider Active NPI

Shannan T Garvey, CRNA

  • Certified Registered Nurse Anesthetist
  • Pell City, AL
National Provider Identifier
1821129842
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-069644 Issued in AL
Practice address
2804 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone
(205) 338-6655
Fax
(205) 338-6658
NPI assigned
Mar 8, 2007
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 1-069644 AL Primary

Addresses

Primary practice location

2804 Dr John Haynes Dr
Pell City, AL 35125-1438

Mailing address

2804 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone (205) 338-6655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000722 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082603287 Reassigns benefits to 2 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
Precision Anesthesia LLCGroup PAC ID 5496908188, 2 clinicians

Practice addresses (Care Compare)

2804 Dr John Haynes Dr
Pell City, AL 35125-1438
Phone (205) 338-6655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-069644ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2012 Accepting new patients
Alabama Anesthesiology and Pain Consultants P.C. Current Accepting new patients
Patriot Perioperative Partners, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Alabama Anesthesiology and Pain Consultants P.C. CurrentSince Jan 1, 2015 Accepting new patients
Anesthesia Resources Management Solutions Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
TMC/Higgins General Hospital Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

731 Leighton Ave
Ste 201
Anniston, AL 36207
Phone (205) 338-6655

727 Memorial Dr
Bessemer, AL 35022
Phone (205) 332-3160

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

2804 Hospital Dr
Pell City, AL 35125
Phone (205) 338-6655

2805 John Haynes Dr
Pell City, AL 35125
Phone (205) 338-3301

613 Martin St N
Ste 300
Pell City, AL 35125
Phone (205) 213-8420

3804 Rainbow Dr
Rainbow City, AL 35906
Phone (205) 338-6655

Interoperability endpoints

  • Direct secure messaging: sgarvey@779.securemail.prognocis.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1821129842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251438",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 DR JOHN HAYNES DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251438",
            "telephone_number": "205-338-6655",
            "fax_number": "205-338-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "SHANNAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-069644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.