Individual provider Active NPI

Freda Marie Kerr, CRNA

  • Certified Registered Nurse Anesthetist
  • Clinton, NC
National Provider Identifier
1821255449
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101841 Issued in NC
Practice address
607 Beaman St
Clinton, NC 28328-2603
Phone
(910) 592-8511
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 101841 NC Primary

Addresses

Primary practice location

607 Beaman St
Clinton, NC 28328-2603

Mailing address

PO Box 665
Lake Waccamaw, NC 28450-0665
Phone (910) 646-3714

Other practice location 1

300 W 27th St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Other names 1

  • Freda King Williamson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140708000907 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870652597 Reassigns benefits to 7 organizations
I20141020001461 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870652597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19020TNMDPediatrics Physician
101841NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince Jun 1, 2014 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince May 19, 2014 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince May 19, 2014 Accepting new patients
Beach Anesthesia, LLC CurrentSince Mar 1, 2023 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC CurrentSince Apr 14, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2021 Accepting new patients
McLeod Physician Associates II Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2019 Accepting new patients
McLeod Physician Associates II CurrentSince Sep 1, 2021 Accepting new patients
McLeod Loris Seacoast Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2014 Accepting new patients

Locations

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

1204 E Cheves St
Florence, SC 29506
Phone (843) 673-0122

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

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

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1821255449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 665",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284500665",
            "telephone_number": "910-646-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-592-8511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "FREDA",
        "middle_name": "MARIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "101841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FREDA",
            "last_name": "WILLIAMSON",
            "middle_name": "KING",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.