Active NPI
Patricia D Smith-Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024169167
- Practice address
- 500 J Clyde Morris Blvd
Newport News, VA 23601-1929 - Phone
- (757) 594-2000
- NPI assigned
- Aug 4, 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 | RN1146675CRNA | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024169167 | VA | Primary |
Addresses
Primary practice location
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Mailing address
PO Box 2564
Macon, GA 31203
Phone (478) 746-5644
Other practice location 1
380 Hospital Drive
Ste 410
Macon, GA 31217
Phone (478) 746-5644
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430076324 | Other | GA | RAILROAD MEDICARE |
| 00845017B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VA, DC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Hospital & facility affiliations
- Inova Fair Oaks Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1146675CRNA | GA | MD | Certified Registered Nurse Anesthetist |
| 0024169167 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xenon Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Inova Cares - Community | Current | Accepting new patients | |
| Urology Specialists Surgery Center, LLC | Current | Accepting new patients | |
| Anesthesia Consultants of Georgia, LLC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Georgia Pain and Spine Solutions, PC | Past | Accepting new patients | |
| Anesthesia Associates of Macon LLP | Past | Accepting new patients | |
| Pain and Spine Solutions, LLC | Past | Accepting new patients | |
| Eclipse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028
5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971
3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854
5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
500 J Clyde Morris Blvd
North North, VA 23601
Phone (757) 594-2000
5818 Harbour View Blvd
#240
Suffolk, VA 23435
Phone (757) 483-6100
Interoperability endpoints
- https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 10
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.
-
- Ambulatory Surgical Clinic/Center
- Macon, GA
- NPI 1093069452
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1366865123
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- Specialist
- Lithonia, GA
- NPI 1760752430
-
- Anesthesiology Physician
- Macon, GA
- NPI 1083720478
-
- Anesthesiology Physician
- Macon, GA
- NPI 1811174964
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Hiram, GA
- NPI 1255820502
-
- Specialist
- Lithonia, GA
- NPI 1073850988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1952319782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "31203",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 J CLYDE MORRIS BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011929",
"telephone_number": "757-594-2000"
}
],
"practiceLocations": [
{
"address_1": "380 Hospital Drive",
"address_2": "Ste 410",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "31217",
"country_code": "US",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH-JOHNSON",
"first_name": "PATRICIA",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN1146675CRNA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430076324",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00845017B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.