Robert Thornton, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN127449 Issued in GA

Practice address

222 Perry Hwy
Hawkinsville, GA 31036-6748

Phone

(478) 783-0200

Fax

(478) 783-0802

NPI assigned

Jun 20, 2005

Reactivated

Jul 1, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Robins Anesthesia Services, LLC

  • Anesthesiology Physician
  • Warner Robins, GA
  • NPI 1154392660
  NPD (past)
• Southern Crescent Anesthesiology, PC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1275585879
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1982609426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-0200",
            "fax_number": "478-783-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PERRY HWY",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-0200",
            "fax_number": "478-783-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-09-09",
        "deactivation_date": "2005-06-27",
        "reactivation_date": "2005-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN127449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000699014C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Newberry Institute
• The Oaks Nursing Home, Inc
• Keyondria Thomas
• Kyle Taylor Thombley, PHARMD
• Kyle Thompson, DPT
• Tiffany Wilkerson Tullis
• W Wayne West OD PC
• Walgreen Co
• Walgreen Co
• Haylee Ward, NP-C

• All providers in Hawkinsville, GA
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.