KELLY A CARMACK CRNA
NPI 1821065269
Nurse Anesthetist, Certified Registered in Charleston, SC
About Kelly A Carmack Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY A CARMACK CRNA (NPI 1821065269) is an individual nurse anesthetist, certified registered in Charleston, South Carolina, licensed in South Carolina (APN1504) and active in the NPI registry since March 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly A Carmack Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kelly Carmack reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Columbus, GA 31909
- Reassigned Medicare billing, Alabama enrollment
- 128 clinicians in this Medicare group
Gadsden, AL 35901
- Reassigned Medicare billing, Alabama enrollment
- 124 clinicians in this Medicare group
Birmingham, AL 35211
- Reassigned Medicare billing, Alabama enrollment
- 690 clinicians in this Medicare group
Foley, AL 36535
- Reassigned Medicare billing, Alabama enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29406
CHARLESTON, SC 29406
CHARLESTON, SC 29406
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 Kelly Carmack's NPI number?
The NPI number for Kelly Carmack is 1821065269. It was assigned to this individual provider in the NPPES registry on March 3, 2006.
Where is Kelly Carmack located?
Kelly Carmack practices at 9326 Medical Plaza Dr Ste B, Charleston, SC 29406. The listed phone number is (843) 553-7070.
What is Kelly Carmack's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Carmack enrolled in Medicare?
Yes. Kelly Carmack is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Carmack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Carmack reassigns Medicare benefits to 5 organizations: Sentry Anesthesia Management, LLC (Newnan, GA), Amsol Anesthetists Of Georgia, LLC (Columbus, GA), Anesthesia Associates (Gadsden, AL), Anesthesiologists Associated PC (Birmingham, AL) and South Baldwin Anesthesia, PC (Foley, AL). Each 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 Kelly Carmack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Carmack accept?
Health plans from Blue Cross and Blue Shield of Alabama list Kelly Carmack 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 Kelly Carmack was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Kelly A Carmack, CRNA · NPI 1821065269
Nurse Anesthetist, Certified Registered physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since March 3, 2006.
## Identity
- **NPI:** 1821065269 (Entity type: Individual)
- **Enumerated:** March 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APN1504 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 9326 MEDICAL PLAZA DR, STE B, Charleston, SC 29406-9138
- **Phone:** (843) 553-7070 · **Fax:** (843) 553-2223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); Amsol Anesthetists Of Georgia, LLC (NPI 1649224775, Columbus, GA); Anesthesia Associates (NPI 1821013905, Gadsden, AL); Anesthesiologists Associated PC (NPI 1851371850, Birmingham, AL); South Baldwin Anesthesia, PC (NPI 1922345438, Foley, AL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid AN1071 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1821065269) · Data from the CMS NPPES public registry.