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1659434710

NPI Code Detail

MEDICARE: JAMES ANDREW EADS CRNA

MEDICARE: JAMES ANDREW EADS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	28178299A	IN
2	367500000X	Certified Registered Nurse Anesthetist	3165	SC
3	367500000X	Certified Registered Nurse Anesthetist	APRN-CRNA168455	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01347699	OTHER	IN	MEDICARE RR PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659434710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ANDREW EADS CRNA

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-695-6697
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 INDEPENDENCE PT STE 300
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4569
Country	:	US
Telephone Number	:	864-522-3700
Fax Number	:	864-522-3705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	03/05/2026

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Directions to “ JAMES ANDREW EADS CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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