Individual provider Active NPI

Elizabeth Jan Gillespie, CRNA

  • Certified Registered Nurse Anesthetist
  • Duluth, GA
National Provider Identifier
1861449787
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9208292 Issued in FL
Practice address
3079 Peachtree Industrial Blvd
Duluth, GA 30097-2215
Phone
(800) 945-6133
Fax
(678) 546-3606
NPI assigned
May 27, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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 ARNP9208292 FL Primary

Addresses

Primary practice location

3079 Peachtree Industrial Blvd
Duluth, GA 30097-2215

Mailing address

3090 Cobblestone Dr
Pace, FL 32571-8425
Phone (850) 995-6193

Other identifiers 6

IdentifierTypeStateIssuer
59173333OtherALBCBS
59173332OtherALBCBS
P00175638OtherPALMETTO GBA-RR MEDICARE
009982125MedicaidAL
G3438OtherFLBCBS
306793900MedicaidFL

Other names 1

  • Elizabeth Jan Gillespie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25888TNMDRegistered Nurse
ARNP9208292FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Surgery Center of Chattanooga, LLC Current Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Physicians Surgery Center of Chattanooga, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2019 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2020 Accepting new patients
Highlands Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2022 Accepting new patients
Physicians Surgery Center of Chattanooga, LLC CurrentSince Aug 26, 2019 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Oct 5, 2019 Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
Amsurg Hermitage Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 17, 2021 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Oct 15, 2020 Accepting new patients
Prime Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2019 Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Oct 1, 2019 Accepting new patients
Anesthesia Health Care Partners of Florida Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Elizabeth Jan Gillespie Crna Past Accepting new patients
The Anesthesia Group, P.a. Past Accepting new patients

Locations

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1301 McCallie Ave
Chattanooga, TN 37404
Phone (423) 622-4700

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406

924 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 629-7688

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5653 Frist Blvd
Hermitage, TN 37076
Phone (615) 232-8812

5653 Frist Blvd
Ste 532
Hermitage, TN 37076
Phone (615) 316-3066

2328 Knob Creek Rd
Ste 500
Johnson City, TN 37604
Phone (423) 722-1310

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1861449787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 COBBLESTONE DR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718425",
            "telephone_number": "850-995-6193",
            "fax_number": "850-995-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300972215",
            "telephone_number": "800-945-6133",
            "fax_number": "678-546-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "ELIZABETH",
        "middle_name": "JAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9208292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59173333",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59173332",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RR MEDICARE",
            "identifier": "P00175638",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009982125",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G3438",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306793900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GILLESPIE",
            "middle_name": "JAN",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.