Active NPI
Marlie Thomas Young, CRNA
- Certified Registered Nurse Anesthetist
- Thomasville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN249788
- Practice address
- 330 N Broad St
Thomasville, GA 31792-8106 - Phone
- (229) 228-7034
- NPI assigned
- Mar 24, 2023
- Last updated
- Oct 11, 2024
- 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 | RN249788 | GA | Primary |
Addresses
Primary practice location
330 N Broad St
Thomasville, GA 31792-8106
Mailing address
654 US Highway 319 S
Thomasville, GA 31792-1447
Phone (229) 921-6275
Other names 1
- Marlie Kyndall Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 551-1883
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Georgia Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
330 N Broad St
Ste D2
Thomasville, GA 31792
Phone (912) 228-7034
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
947 S Broad St
Thomasville, GA 31792
Phone (229) 228-3731
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Thomasville, GA
- NPI 1285605733
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Archbold Memorial
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
-
dba John D. Archbold Memorial Hospital - Rehab
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1821791252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "654 US HIGHWAY 319 S",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317921447",
"telephone_number": "229-921-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N BROAD ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317928106",
"telephone_number": "229-228-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MARLIE",
"middle_name": "THOMAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN249788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLIE",
"last_name": "THOMAS",
"middle_name": "KYNDALL",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.