Individual provider Active NPI

Vincent Nick Musso Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Hartwell, GA
National Provider Identifier
1841346772
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3740 Issued in SC
Practice address
1179 Melody LN
Hartwell, GA 30643-4257
Phone
(706) 376-3373
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN147165 GA
Certified Registered Nurse Anesthetist 367500000X 3740 SC Primary

Addresses

Primary practice location

1179 Melody LN
Hartwell, GA 30643-4257

Mailing address

1179 Melody LN
Hartwell, GA 30643-4257
Phone (706) 376-3373

Other practice location 1

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 455-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040914000272 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476520099 Reassigns benefits to 7 organizations
I20210813001965 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476520099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaoc Anesthesia LLCGroup PAC ID 0042466757, 2 clinicians

Practice addresses (Care Compare)

1000 Hawthorne Ave
Suite T
Athens, GA 30606-2168

771 Old Norcross Rd
Suite 135
Lawrenceville, GA 30046-4978
Phone (678) 689-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3740SCMDSpeech-Language Pathologist
RN147165GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawthorne Anesthesia, LLC CurrentSince Mar 1, 2017 Accepting new patients
Ingram Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2009 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Dec 20, 2024 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Prisma Health-Upstate CurrentSince May 11, 2021 Accepting new patients
Sleep Ezzy CurrentSince Jun 25, 2021 Accepting new patients
Pathology Associates of Greenville PA Current Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Dec 20, 2024 Accepting new patients
Prisma Health-Upstate Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
Ty Cobb Healthcare System Past Accepting new patients
Ty Cobb Healthcare System, Inc Past Accepting new patients
Middle Georgia Anesthesia Associates, PC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1000 Hawthorne Ave
Ste K
Athens, GA 30606
Phone (706) 207-6601

1000 Hawthorne Ave
Ste J
Athens, GA 30606
Phone (706) 286-8344

1000 Hawthorne Ave
Ste T
Athens, GA 30606
Phone (705) 461-4604

2100 North Ave
Columbus, GA 31904
Phone (706) 243-0624

484 Irvin Ct
Ste 130
Decatur, GA 30030

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-7800

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1841346772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 MELODY LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306434257",
            "telephone_number": "706-376-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1179 MELODY LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306434257",
            "telephone_number": "706-376-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054210",
            "country_code": "US",
            "telephone_number": "864-455-3076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSO",
        "first_name": "VINCENT",
        "middle_name": "NICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN147165",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.