DWAYNE DANIEL BREEDEN CRNA
NPI 1396725230
Nurse Anesthetist, Certified Registered in Greenwood, SC

Q: What is Dwayne Breeden's NPI number?

The NPI number for Dwayne Breeden is 1396725230. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Dwayne Breeden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dwayne Breeden was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 18, 2006Accepts Medicare Assignment

1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4111 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dwayne Daniel Breeden Crna NPPES

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

DWAYNE DANIEL BREEDEN CRNA (NPI 1396725230) is an individual nurse anesthetist, certified registered in Greenwood, South Carolina, licensed in South Carolina (2488) and active in the NPI registry since January 2006. He is affiliated with Self Regional Healthcare, maintains a secondary practice location in Greenville, and is a graduate of Medical College Of Georgia School Of Medicine (2004).

NPPES Registry Identity

NPI1396725230

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDWAYNE DANIEL BREEDENCredential: CRNA

Location Address1325 SPRING STGreenwood, SC 29646-3860

Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 223-3330

Phone(864) 725-4111

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004

Enumeration DateJanuary 18, 2006

Last NPPES UpdateMarch 15, 2024

NPPES CertifiedMarch 15, 2024

✔ NPI 1396725230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in SC · 2488

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.

1325 SPRING ST, Greenwood, SC 29646

Open in Google Maps ↗

Secondary Practice Location 1

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-7111

Other Identifiers 1

MedicaidAN1358SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dwayne Daniel Breeden Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688625973

PECOS Enrollment IDI20050203000570

Medicare Billing Reassignment

Medicare enrollment records show Dwayne Breeden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Self Medical Group

Same address

Anesthesiology

1325 SPRING ST
Greenwood, SC 29646

Reassigned Medicare billing, South Carolina enrollment
560 clinicians in this Medicare group

NPI 1013579259 (864) 725-4111

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA DIANE MOON

Nurse Anesthetist, Certified Registered