Active NPI
Peggy Marie Braswell, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
National Provider Identifier
1891739389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1289
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Jun 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R27499 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1289 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603
Other practice location 1
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Other practice location 2
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Other practice location 3
701 Grove Rd
Greenville, SC 29605
Phone (864) 455-3076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN0091 | Medicaid | SC |
Other names 1
- Peggy Marie Coogler
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1289 | NC | MD | Marriage & Family Therapist |
| 1289 | SC | MD | Optometrist |
| R27499 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Pain Management, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Mt Pleasant, SC
- NPI 1104914076
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1891739389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842",
"telephone_number": "864-522-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "555 E Cheves St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062617",
"country_code": "US",
"telephone_number": "843-777-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 E Cheves St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295062617",
"country_code": "US",
"telephone_number": "843-777-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "29605",
"country_code": "US",
"telephone_number": "864-455-3076",
"fax_number": "864-455-4135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASWELL",
"first_name": "PEGGY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "R27499",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN0091",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "COOGLER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.