Active NPI
Jack McAdory, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3435
- Practice address
- 9263 Medical Plaza Dr
Suite E
Charleston, SC 29406-7112 - Phone
- (843) 572-1228
- Fax
- (877) 561-7564
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3435 | SC | Primary |
Addresses
Primary practice location
9263 Medical Plaza Dr
Suite E
Charleston, SC 29406-7112
Mailing address
9263 Medical Plaza Dr
Suite E
Charleston, SC 29406-7112
Phone (843) 572-1228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN1645 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-3076
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mobile Anesthesia, LLC | Past | Accepting new patients | |
| Trident Anesthesia Group, LLC | Past | Accepting new patients |
Locations
800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1588685333
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1982889077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "SUITE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9263 MEDICAL PLAZA DR",
"address_2": "SUITE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294067112",
"telephone_number": "843-572-1228",
"fax_number": "877-561-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADORY",
"first_name": "JACK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1645",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.