GREENSBORO ANESTHESIA SPECIALISTS INC
NPI 1073772612
Nurse Anesthetist, Certified Registered in Chester, VA

Active since June 09, 2008
1714 E HUNDRED RD STE 104, CHESTER, VA 23836(888) 209-0305(952) 442-3620 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 10, 2021, Aug 24, 2019 (2 updates tracked since 2019).

About Greensboro Anesthesia Specialists Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENSBORO ANESTHESIA SPECIALISTS INC (NPI 1073772612) is a healthcare organization registered as a nurse anesthetist, certified registered in Chester, Virginia and active in the NPI registry since June 2008. The organization maintains a secondary practice location in Greensboro and lists John Michael Nulty, President, as its authorized official.

NPPES Registry Identity

NPI1073772612
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameGREENSBORO ANESTHESIA SPECIALISTS INC
Location Address1714 E HUNDRED RD STE 104Chester, VA 23836-3310
Mailing Address400 10th St EWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3620
Fax(952) 442-3620
Organization SubpartNo
Authorized OfficialJohn Michael NultyPresident · (336) 324-3116
Enumeration DateJune 9, 2008
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1073772612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
1714 E HUNDRED RD STE 104, Chester, VA 23836

Secondary Practice Location 1

Location 1520 N Elam AveGreensboro, NC 27403-1127 · Phone (888) 209-0305 · Fax (952) 442-3620

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greensboro Anesthesia Specialists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

43

Medicare enrollment records show 43 clinicians reassign Medicare billing to Greensboro Anesthesia Specialists Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)40
Anesthesiology3

Nearest to this location (20)

See all 43
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427389709
200 MEDICAL PARK BLVD
Petersburg, VA 23805
(804) 765-5000
11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851782585
1250 E MARSHALL ST
Richmond, VA 23298
(804) 628-6990
✔ Accepts Medicare15 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295788057
10800 MIDLOTHIAN TPKE SUITE 265
Richmond, VA 23235
(804) 594-2622
✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114391497
10800 MIDLOTHIAN TPKE SUITE 207
North Chesterfield, VA 23235
(804) 594-2622
✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1083664866
10800 MIDLOTHIAN TPKE SUITE 265
Richmond, VA 23235
(804) 594-2622
19 mi
Anesthesiology
NPI 1245223056
1602 SKIPWITH RD
Richmond, VA 23229
(804) 289-4937
✔ PECOS✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1235468976
1602 SKIPWITH RD
Richmond, VA 23229
(804) 289-4937
✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982666194
760 MCGUIRE PL FL 1
Newport News, VA 23601
(757) 591-2260
✔ Accepts Medicare51 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265516140
500 J CLYDE MORRIS BLVD
Newport News, VA 23601
(757) 594-2000
✔ Accepts Medicare53 mi
Anesthesiology
NPI 1922069988
3000 COLISEUM DR
Hampton, VA 23666
(757) 736-1000
✔ PECOS✔ Accepts Medicare55 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104849652
1925 GLENN MITCHELL DRIVE, SUITE 102 GASTROENTEROLOGY CONSULTANTS
Virginia Beach, VA 23456
(757) 464-1644
✔ Accepts Medicare78 mi
Anesthesiology
NPI 1861406910
1139 E HIGH ST STE 203
Charlottesville, VA 22902
(434) 817-8484
✔ PECOS✔ Accepts Medicare79 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659327039
615 RIDGE RD SUITE 202
Roxboro, NC 27573
(336) 503-5640
✔ Accepts Medicare112 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487996344
2485 HEMBY LN SUITE A
Greenville, NC 27834
(252) 752-2140
✔ PECOS✔ Accepts Medicare120 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902138894
3100 SPRING FOREST RD
Raleigh, NC 27616
(919) 882-0768
✔ Accepts Medicare124 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255391314
142 S MAIN ST
Danville, VA 24541
(434) 799-2100
✔ PECOS✔ Accepts Medicare126 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437211737
142 S MAIN ST
Danville, VA 24541
(434) 799-2226
✔ Accepts Medicare126 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891764346
7474 MIDDLESTREAM RD
Browns Summit, NC 27214
(336) 656-1210
✔ Accepts Medicare149 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1033552518
1240 HUFFMAN MILL RD
Burlington, NC 27215
(501) 590-4790
149 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841509445
420 THROCKMORTON RD
Madison, NC 27025
(336) 427-5849
✔ Accepts Medicare157 mi
See all 43 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greensboro Anesthesia Specialists Inc's NPI number?

The NPI number for Greensboro Anesthesia Specialists Inc is 1073772612. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Greensboro Anesthesia Specialists Inc located?

Greensboro Anesthesia Specialists Inc is located at 1714 E Hundred Rd Ste 104, Chester, VA 23836. The listed phone number is (888) 209-0305.

What is Greensboro Anesthesia Specialists Inc's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Greensboro Anesthesia Specialists Inc enrolled in Medicare?

Yes. Greensboro Anesthesia Specialists Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greensboro Anesthesia Specialists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 43 clinicians in 2 Medicare specialties reassign their Medicare billing to Greensboro Anesthesia Specialists Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (40) and Anesthesiology (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Greensboro Anesthesia Specialists Inc accept?

Health plans from Cigna Healthcare list Greensboro Anesthesia Specialists Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greensboro Anesthesia Specialists Inc was last updated on December 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.