| Johnathan Nathaniel Haley, CRNA | |
|
1325 Spring St, Greenwood, SC 29646-3860 | |
| (864) 725-4111 | |
| Not Available |
| Full Name | Johnathan Nathaniel Haley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1325 Spring St, Greenwood, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780856047 | NPI | - | NPPES |
| AN1690 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 3511 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital | Athens, GA | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Of Athens | 2567459902 | 55 |
| Self Medical Group | 6002953916 | 399 |
| Entity Name | Anesthesia Consultants Of Athens |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005636 PECOS PAC ID: 2567459902 Enrollment ID: O20040428000654 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan Nathaniel Haley, CRNA Po Box 819, Greenwood, SC 29648-0819 Ph: (706) 860-2701 | Johnathan Nathaniel Haley, CRNA 1325 Spring St, Greenwood, SC 29646-3860 Ph: (864) 725-4111 |
Susan Striegel-edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Cody Michael Nye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Karen Marie Tolley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Mrs. Mary Parks Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Todd Paul Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Dr. Travis Shoop, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 | |
Nathaniel Lever, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1325 Spring St, Greenwood, SC 29646 Phone: 864-725-4111 |