NPIMap

Organization Active NPI

Resource Anesthesia Barrow Inc.

  • Certified Registered Nurse Anesthetist
  • Winder, GA
National Provider Identifier
1841546892
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
RESOURCE ANESTHESIA BARROW INC.
Practice address
316 N. Broad Street
Winder, GA 30680-1776
Phone
(770) 867-3400
Fax
(865) 777-0910
NPI assigned
Jul 27, 2012
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mr. Phillip Kent Haynie, CRNANPI 1841287224
Title
President
Phone
(865) 777-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

316 N. Broad Street
Winder, GA 30680-1776

Mailing address

12752 Kingston Pike
Suite E202
Knoxville, TN 37934-0948
Phone (865) 777-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121112000137 GA Part B Supplier - Clinic/Group Practice 2769633114 Receives reassigned benefits from 22 practitioners
Practice locations: Winder, GA

National Provider Directory

National Provider Directory

Locations

138 W Athens St
Winder, GA 30680
Phone (770) 307-3922

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1841546892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "SUITE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340948",
            "telephone_number": "865-777-0909",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N. BROAD STREET",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801776",
            "telephone_number": "770-867-3400",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCE ANESTHESIA BARROW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "HAYNIE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-777-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.

Verify at the official NPI Registry.