Brett T King, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN136142 Issued in GA

Practice address

208 Towne Overlook Dr
Canton, GA 30114-7239

Phone

(678) 880-7621

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Northside Cherokee Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1144299629
  NPD (past)
• TMC-West Georgia Anesthesia Associates Inc.

  • Anesthesiology Physician
  • Carrollton, GA
  • NPI 1740252022

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1952593865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 TOWNE OVERLOOK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147239",
            "telephone_number": "678-880-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 TOWNE OVERLOOK DR",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147239",
            "telephone_number": "678-880-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BRETT",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN136142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia E Killian, RPH
• Annie Kim, M.D.
• Hannah Kim, PA-C
• Sajeevani Gunasinghe Kim, MD, PHD
• Sarah Kimbro, MA
• Lauren Brooke King, PT, DPT
• Nicholas Joseph Kirkpatrick, D.M.D
• Dominik Kissing, M.D.
• Allielee Claire Klein, ATC
• Vicki D Knight-Mathis, M.D.

• Certified Registered Nurse Anesthetist in Canton, GA
• Providers in Canton, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.