Active NPI
Radly D McDaniel, CRNA
- Certified Registered Nurse Anesthetist
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN190800
- Practice address
- 400 Mall Blvd
Suite T
Savannah, GA 31406 - Phone
- (912) 355-7214
- Fax
- (912) 354-2479
- NPI assigned
- Jan 22, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN 0990619 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | RN190800 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 0990619 | CO |
Addresses
Primary practice location
400 Mall Blvd
Suite T
Savannah, GA 31406
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0990619 | Other | CO | APN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of South Carolina School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811
Hospital & facility affiliations
- Wayne Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0990619 | CO | MD | Certified Registered Nurse Anesthetist |
| APN 0990619 | CO | MD | Certified Registered Nurse Anesthetist |
| RN190800 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquil Anesthesiology LLC | Current | Accepting new patients | |
| Vision Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital Authority of Wayne County Georgia | Current | Accepting new patients | |
| Integrated Anesthesia Solutions, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital Authority of Wayne County Georgia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ironcrest Anesthesia LLC | Current | Accepting new patients | |
| Overwatch Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital Authority of Wayne County Georgia | Past | Accepting new patients | |
| Anesthesia Consultants PC | Past | Accepting new patients |
Locations
414 5th Ave
Albany, GA 31701
Phone (229) 432-9515
3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029
1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552
874 Lanier Ave W
Ste 100
Fayetteville, GA 30214
Phone (770) 461-4000
865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811
865 N 1St St
Jesup, GA 31545
Phone (912) 427-6811
110 Professional Ct
Jesup, GA 31545
Phone (912) 427-6029
112 Professional Ct
Jesup, GA 31545
112 Arkwright Lndg
Macon, GA 31210
Phone (478) 471-9779
5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501
100 Three Rivers Dr NE
Ste B
Rome, GA 30161
Phone (706) 292-0400
1 E Jackson Blvd
Ste 101
Savannah, GA 31405
Phone (912) 356-3287
1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1528616810
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Jesup, GA
- NPI 1366506222
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1205656618
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Milledgeville, GA
- NPI 1114815271
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Macon, GA
- NPI 1235514456
-
- Anesthesiology Physician
- Jacksonville, FL
- NPI 1134740319
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Home Health Agency
- Jesup, GA
- NPI 1699779405
-
- Hospitalist Physician
- Jesup, GA
- NPI 1275703985
-
- Anesthesiology Physician
- Lakewood, CO
- NPI 1164460598
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jesup, GA
- NPI 1770578999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1942548292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MALL BLVD",
"address_2": "SUITE T",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-355-7214",
"fax_number": "912-354-2479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "RADLY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-22",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "APN 0990619",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN190800",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "0990619",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN",
"identifier": "0990619",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.