Active NPI
Vickie McCarty, CRNA
- Certified Registered Nurse Anesthetist
- Macon, GA
National Provider Identifier
1902027014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN035026
- Practice address
- 777 Hemlock Street
Macon, GA 31201 - Phone
- (478) 633-6706
- Fax
- (478) 633-5384
- NPI assigned
- May 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN035026 | GA | Primary |
Addresses
Primary practice location
777 Hemlock Street
Macon, GA 31201
Mailing address
598 Third Street
Macon, GA 31201
Phone (478) 633-6706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344355 | Other | GA | WELLCARE CMO - MCCG |
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 |
|---|---|---|---|
| RN035026 | GA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902027014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 THIRD STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-6706",
"fax_number": "478-633-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK STREET",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-633-6706",
"fax_number": "478-633-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "VICKIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN035026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE CMO - MCCG",
"identifier": "344355",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.