LALA LAND ANESTHESIA, LLC (NPI# 1093242422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093242422 |
| Entity Type | Organization |
| Organization Name | LALA LAND ANESTHESIA, LLC |
| Practice Address |
276 Belflower Rd Tifton GA 31794-1607 |
| Practice Telephone | (229) 392-8840 |
| Practice Fax Number | 4783336117 |
| Mailing Telephone | 2293928840 |
| Mailing Fax Number | 4783336117 |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | MR. DUSTIN C CONNELL (MANAGER) |
| Authorized Official Telephone | 2293928840 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN167296 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
276 BELFLOWER RD |
| City | TIFTON |
| State | GA |
| Zip Code | 31794-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234043 | Deloris Lunsford | Licensed Practical Nurse | 903 Washington St., Tifton, GA 31794 | 2020-01-17 |
| 1194383075 | William Jordan Kinnett | Registered Nurse | 1205 Tift Ave N, Tifton, GA 31794 | 2019-06-05 |
| 1598321200 | Courtlyn Christanna Fussell | Pharmacist | 2201 Hwy 41 N, Tifton, GA 31794 | 2019-05-17 |
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1427541044 | Rebekah F Cottle | Speech-Language Pathologist | 2227 Highway 41 North, Tifton, GA 31794 | 2018-06-08 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1568975431 | Skyler Clark | Pharmacist | 2201 North 12th Street, Tifton, GA 31794 | 2017-11-14 |
| 1538606306 | Imagine Peace Counseling LLC | Counselor | 223 E 2nd Street, Suite B, Tifton, GA 31794 | 2017-01-31 |
| 1073056347 | Jessica Tumbling | Contractor | 219 Savannah Way, Tifton, GA 31794 | 2016-11-18 |
| 1992159503 | Joseph Thomas Seagraves Jr. | Nurse Practitioner | 901 East 18th Street, Tifton, GA 31794 | 2016-04-20 |
| Find all providers in zip 31794 | ||||
| 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 |
|---|---|---|---|---|
| 1346208329 | Lindalea E. Parker | Nurse Anesthetist, Certified Registered | 907 18th Street, Suite 460, Tifton, GA 31794-3684 | 2006-05-01 |
| 1558992479 | Justin Giddens | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2020-01-29 |
| 1154788446 | Anna Driggers | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2016-01-18 |
| 1760891584 | Joshua Jarrett | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2014-08-06 |
| 1013250612 | Heath Farmer | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2013-04-02 |
| 1487997086 | David Hardy | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2013-04-02 |
| 1306105390 | Dustin Connell | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2012-05-10 |
| 1841559085 | Pierson Cannington | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2012-05-09 |
| 1932474046 | Anna Bowen | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2012-03-22 |
| 1003198268 | Cole Burgess | Nurse Anesthetist, Certified Registered | 901 18th St E, Tifton, GA 31794-3648 | 2011-09-14 |
| Find all providers in TIFTON | ||||
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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.