Individual provider Active NPI

Clinton H. Brakebill, CRNA

  • Certified Registered Nurse Anesthetist
  • Augusta, GA
National Provider Identifier
1992181382
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26100 Issued in SC
Practice address
3651 Wheeler Rd
Augusta, GA 30909-6521
Phone
(706) 651-3232
Fax
(706) 650-1034
NPI assigned
Aug 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN181883 TN
Certified Registered Nurse Anesthetist 367500000X GAA-CRNA000405 GA
Certified Registered Nurse Anesthetist 367500000X 26100 SC Primary

Addresses

Primary practice location

3651 Wheeler Rd
Augusta, GA 30909-6521

Mailing address

PO Box 204097
Augusta, GA 30917-4097
Phone (706) 466-4541

Other practice location 1

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211115002789 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052621117 Reassigns benefits to 1 organization
I20231227002494 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052621117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Southern Anesthesia of Augusta LLCGroup PAC ID 5294030466, 8 clinicians
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Anesthesia Consultants of Augusta LLCGroup PAC ID 6204905763, 79 clinicians

Practice addresses (Care Compare)

110 Pepper Hill Way
Aiken, SC 29801-2818
Phone 7067379250109

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-CRNA000405GAMDCertified Registered Nurse Anesthetist
RN181883TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Southern Anesthesia of Augusta LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia Consultants of Augusta, LLC CurrentSince Nov 15, 2021 Accepting new patients
Self Medical Group CurrentSince Apr 1, 2026 Accepting new patients
Southern Anesthesia of Augusta LLC Nurse Anesthetist, Certified Registered PastSince Oct 22, 2023 Accepting new patients

Locations

915 Russell St
Augusta, GA 30904
Phone (706) 737-4255

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

1290 Interstate Pkwy
Augusta, GA 30909
Phone (706) 860-5383

811 13th St
Ste 21
Augusta, GA 30901
Phone (706) 396-3700

635 Ronald Reagan Dr
Evans, GA 30809
Phone (706) 868-3100

569 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 466-4541

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

75 Remittance Dr
Dept 6764
Chicago, IL 60675

110 Pepper Hill Way
Aiken, SC 29801
Phone (803) 642-6060

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

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.

Hospital & facility affiliations 5

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1992181382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204097",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309174097",
            "telephone_number": "706-466-4541",
            "fax_number": "706-650-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "telephone_number": "706-651-3232",
            "fax_number": "706-650-1034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAKEBILL",
        "first_name": "CLINTON",
        "middle_name": "H.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN181883",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "GAA-CRNA000405",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "26100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.