MICHAEL SHANE EXUM (NPI# 1124564950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124564950 |
| Entity Type | Individual |
| Full Name | MICHAEL SHANE EXUM |
| Practice Address |
2501 N Patterson St Valdosta GA 31602-1735 |
| Practice Telephone | 2292446852 |
| Mailing Telephone | 2292446852 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN210620 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2501 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566964 | John William Devine | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-05-31 |
| 1770100422 | Hospital Authority of Valdosta & Lowndes County, Ga | Clinical Medical Laboratory | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-06-29 |
| 1700410602 | Danielle C Yund | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-02-28 |
| 1417597170 | Sgmc Physician Network Inc | Emergency Medicine | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2020-01-10 |
| 1497390116 | Stacey Newsome | Registered Nurse | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-11-18 |
| 1508417296 | Coastal Plain Radiology LLC | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2019-09-24 |
| 1760030050 | Larissa Kathleen Frauenheim | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-29 |
| 1336794734 | Jeffery Allan Baggett | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-03 |
| 1689130312 | Kala Jo Bugg | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-02-19 |
| 1588149819 | Philip Andrew Cooper | Nurse Practitioner | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1972814424 | Thomas Edward Herring Jr. | Nurse Anesthetist, Certified Registered | 4752 Michelle St, Valdosta, GA 31605-6332 | 2010-06-30 |
| 1336794734 | Jeffery Allan Baggett | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Valdosta, GA 31602-1785 | 2019-08-03 |
| 1770951253 | Dustin Goff | Nurse Anesthetist, Certified Registered | 2310 N Patterson St, Suite C, Valdosta, GA 31602-2568 | 2015-09-14 |
| 1407291024 | Mark Arthur Pleasants | Nurse Anesthetist, Certified Registered | 230 Northside Dr, Valdosta, GA 31602-1858 | 2013-05-09 |
| 1376818666 | Joshua Peter Shea | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 | 2012-03-20 |
| 1942347919 | Kimberly L Peacock | Nurse Anesthetist, Certified Registered | 4280 N Valdosta Rd, Valdosta, GA 31602-6814 | 2007-01-31 |
| 1891874939 | Cornelia Adams | Nurse Anesthetist, Certified Registered | 4280 N Valdosta Rd, Dept of Anesthesia, Valdosta, GA 31602-6814 | 2006-11-02 |
| 1952409948 | Maurice Leigh Young | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 | 2006-09-21 |
| 1992803977 | Randall Haynes Walker | Nurse Anesthetist, Certified Registered | 2501 N Patterson St, Sgmc, Valdosta, GA 31602-1735 | 2006-09-21 |
| Find all providers in VALDOSTA | ||||
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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.