Active NPI
Robert Nelson London, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 077449
- Practice address
- 2430 Emerald PL
Suite 201
Greenville, NC 27834-5784 - Phone
- (252) 752-2140
- Fax
- (252) 752-3949
- NPI assigned
- May 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 181383 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 077449 | NC | Primary |
Addresses
Primary practice location
2430 Emerald PL
Suite 201
Greenville, NC 27834-5784
Mailing address
2430 Emerald PL
Suite 201
Greenville, NC 27834-5784
Phone (252) 752-2140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052938 | Medicaid | NC | |
| P00601404 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Brody School of Medicine at East Carolina University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Hospital & facility affiliations
- Atrium Health Union
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077449 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Certified Registered Nurse Anesthetist
- Monroe, NC
- NPI 1255405734
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1902010168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 EMERALD PL",
"address_2": "SUITE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345784",
"telephone_number": "252-752-2140",
"fax_number": "252-752-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 EMERALD PL",
"address_2": "SUITE 201",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345784",
"telephone_number": "252-752-2140",
"fax_number": "252-752-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "ROBERT",
"middle_name": "NELSON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "181383",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "077449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052938",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00601404",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.