Individual provider Active NPI

Radly D McDaniel, CRNA

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
National Provider Identifier
1942548292
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN190800 Issued in GA
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

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0990619OtherCOAPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519001743 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426294604 Reassigns benefits to 8 organizations

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
Overwatch AnesthesiaGroup PAC ID 3678949146, 69 clinicians

Practice addresses (Care Compare)

865 S 1St St
Jesup, GA 31545-0210
Phone (912) 427-6811

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0990619COMDCertified Registered Nurse Anesthetist
APN 0990619COMDCertified Registered Nurse Anesthetist
RN190800GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Anesthesiology LLC CurrentSince May 1, 2023 Accepting new patients
Vision Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 10, 2023 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 29, 2023 Accepting new patients
Hospital Authority of Wayne County Georgia CurrentSince Jul 30, 2019 Accepting new patients
Integrated Anesthesia Solutions, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2025 Accepting new patients
Hospital Authority of Wayne County Georgia Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2019 Accepting new patients
Ironcrest Anesthesia LLC CurrentSince Dec 10, 2025 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 29, 2022 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.

Hospital & facility affiliations 1

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

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.

Verify at the official NPI Registry.