MR. JIMMY GLENN STILLWELL (NPI# 1003991290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003991290 |
| Entity Type | Individual |
| Full Name | MR. JIMMY GLENN STILLWELL |
| Credential | CRNA CERTIFIED REGIS |
| Practice Address |
1007 S Williams Atlanta Memorial Hospital Atlanta TX 75551 |
| Mailing Address |
8704 Cr 317 South Henderson TX 75654 |
| Practice Telephone | 9037993000 |
| Mailing Telephone | 9038982662 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | TX RN 226622 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE SHIELD GROUP | 00C81J | 01 |
| TX | BLUE SHIELD | 81265U | 01 |
| Street Address |
1007 S WILLIAMS ATLANTA MEMORIAL HOSPITAL |
| City | ATLANTA |
| State | TX |
| Zip Code | 75551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879921 | Wendy Sue Willoughby | Pharmacy Technician | 201 Us Hwy 59, Atlanta, TX 75551 | 2020-04-06 |
| 1689154759 | Bobbye Francene Rankin | Physical Therapy Assistant | 109 Cr 3544, Atlanta, TX 75551 | 2018-08-18 |
| 1447668538 | Winnie-stowell Hospital District | Skilled Nursing Facility | 1104 S. William Street, Atlanta, TX 75551 | 2014-08-01 |
| 1912176983 | Glenna B Frost | Speech-Language Pathologist | 1001 West Main Street, Atlanta, TX 75551 | 2008-02-25 |
| 1043438823 | Shelia Kaye Langbartels | Optometrist | 201 Hwy. 59 South, Atlanta, TX 75551 | 2007-04-24 |
| 1598838583 | Tim C Hogan | Dentist | 402 S William St, Hogan Dental Clinic, Atlanta, TX 75551 | 2006-11-16 |
| 1336248376 | Miles Drug Company | Pharmacist | 122 N East St, Atlanta, TX 75551 | 2006-09-22 |
| 1417050667 | Danny Warren Addington | Dentist | 307 East Hiram, Atlanta, TX 75551 | 2006-09-06 |
| 1912917899 | Atlanta Nursing Homes Inc. | Skilled Nursing Facility | 200 Live Oak, Atlanta, TX 75551 | 2006-08-09 |
| 1588668453 | Stephen K Erlewine | Nurse Practitioner | 1011 S William St, Atlanta, TX 75551 | 2005-06-09 |
| Find all providers in zip 75551 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1578074993 | Spectrum Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 67 Peachtree Park Dr Ne Ste 101, Atlanta, GA 30309-1318 | 2017-10-12 |
| 1346778610 | Michelle Leigh Sebag | Nurse Anesthetist, Certified Registered | 550 Peachtree St Ne Fl 2, Atlanta, GA 30308-2212 | 2017-05-31 |
| 1720525439 | Alison Briana Gunbay | Nurse Anesthetist, Certified Registered | 2952 Ashlyn Ridge Ct, Atlanta, GA 30340-2278 | 2017-01-20 |
| 1740723147 | Frank James Sullen Jr. | Nurse Anesthetist, Certified Registered | 500 Northridge Rd, Suite 330, Atlanta, GA 30350-3315 | 2016-12-02 |
| 1902267974 | Bonnie Grullon-cooper | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr. Box 88, Grady Hospital, Atlanta, GA 30303 | 2016-03-17 |
| 1851799373 | Ambulatory Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | 438 Tara Trl, Atlanta, GA 30327-4926 | 2014-12-16 |
| 1871933663 | Robert T. Eliason | Nurse Anesthetist, Certified Registered | 600 Peachtree Park Dr Ne, Ste 200, Atlanta, GA 30309 | 2013-06-26 |
| 1609140938 | Kristina Marie Kinney | Nurse Anesthetist, Certified Registered | 550 Peachtree Street Nw, Atlanta, GA 30308 | 2012-03-05 |
| 1265723530 | Katrece Levoy Ellis | Nurse Anesthetist, Certified Registered | 2829 Overlook Trce, Atlanta, GA 30324-7505 | 2011-04-21 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.