OrganizationActive
Greensboro Anesthesia Specialists Inc
NPI 1073772612 · Certified Registered Nurse Anesthetist · Chester, VA
Provider details
- NPI number
- 1073772612
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Nulty, President(336) 324-3116
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1714 E Hundred Rd Ste 104
Chester, VA 23836-3310
Phone: (888) 209-0305
Fax: (952) 442-3620
Street-level locationGet directions
Mailing address
400 10th St E
Waconia, MN 55387-4552
Additional practice locations (1)
- 520 N Elam AveGreensboro, NC 27403-1127Phone: (888) 209-0305Fax: (952) 442-3620
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.