Cristin Kempshall Wright

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

Practice address

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Phone

(770) 710-3084

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cristin Lynn Kempshall Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Mak Anesthesia Georgia, LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1609390103
  Medicare reassignment Care Compare group NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Rome, GA
  • NPI 1093947236
  Medicare reassignment NPD
• Georgia Group Services, LLC

  • Anesthesiology Physician
  • Cedartown, GA
  • NPI 1952704942
  NPD

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

• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1871946095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 PEACHFIELD DR",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966937",
            "telephone_number": "770-710-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "770-710-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CRISTIN",
        "middle_name": "KEMPSHALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTIN",
            "last_name": "KEMPSHALL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip R Worts, LAT, ATC
• Anthony John Wright, M.D.
• Caylan Lee Roberts Wright, DNP, FNP-BC
• Cecil Baker Wright IV, PHD, BCBA
• Christopher Robert Wright, PA-C
• Da'Shaneka Wright, MPH
• Jacara Wright
• Kate Julianna Wright
• Kayleigh Ann Wright, M.D.
• Kotrish Wright

• Anesthesiologist Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Anesthesiologist Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.