Individual provider Active NPI

William John Nummy, CRNA

  • Certified Registered Nurse Anesthetist
  • Panama City, FL
National Provider Identifier
1972570406
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3326762 Issued in FL
Practice address
3034 Selma Ave
Panama City, FL 32405-5843
Phone
(850) 914-0010
NPI assigned
Mar 3, 2006
Last updated
Dec 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3326762 FL Primary

Addresses

Primary practice location

3034 Selma Ave
Panama City, FL 32405-5843

Mailing address

3034 Selma Ave
Panama City, FL 32405-5843
Phone (850) 914-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041008000654 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658330162 Reassigns benefits to 2 organizations
I20250515002359 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658330162 Reassigns benefits to 1 organization
I20260105001307 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658330162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

201 E Grover St
Shelby, NC 28150-3917
Phone (980) 487-3000

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (980) 212-2000

706 W King St
Kings Mountain, NC 28086-2708
Phone (980) 487-5000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29327SCMDRegistered Nurse
3326762FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2007 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Musc Community Physicians CurrentSince Oct 31, 2025 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Mar 13, 2025 Accepting new patients
Musc Community Physicians CurrentSince Oct 31, 2025 Accepting new patients
Bay County Health System, LLC Past Accepting new patients
Anesthesia Unlimited Inc PastSince Dec 6, 2022 Accepting new patients

Locations

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

3024 4th St
Marianna, FL 32446
Phone (850) 258-3148

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

767 Airport Rd
Panama City, FL 32405
Phone (850) 747-0400

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1972570406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 SELMA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055843",
            "telephone_number": "850-914-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 SELMA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055843",
            "telephone_number": "850-914-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUMMY",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "3326762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.