SOUTHERN ANESTHESIA COMPANY, LLC. (NPI# 1184025942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184025942 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ANESTHESIA COMPANY, LLC. |
| Practice Address |
306 Isabella St Waycross GA 31501-3636 |
| Practice Telephone | 8502512511 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MR. JOHN G WOOLEY II (PARTNER) |
| Authorized Official Telephone | 8502512511 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
306 ISABELLA ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588755920 | South Georgia Surgery Center | Clinic/Center | 306 Isabella St, Waycross, GA 31501-3636 | 2006-09-28 |
| 1114454634 | Coastal Pain Center, LLC | Clinic/Center | 306 Isabella St, Waycross, GA 31501-3636 | 2017-05-15 |
| 1033509203 | Pain Associates of South Georgia LLC | Durable Medical Equipment & Medical Supplies | 306 Isabella St, Waycross, GA 31501-3636 | 2015-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| 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 |
|---|---|---|---|---|
| 1538403324 | Okefenokee Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | 1501 Alice Street, Waycross, GA 31501 | 2012-11-16 |
| 1588922504 | Southern Nurse Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1905 Tebeau Street, Waycross, GA 31501-6356 | 2012-04-27 |
| 1265896484 | Georgia Anesthesia Medical Group, LLC | Nurse Anesthetist, Certified Registered | 2003 Alice St, Suite 2003b, Waycross, GA 31501-6209 | 2016-04-13 |
| 1821387408 | Amy Marie Harper | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2011-04-04 |
| 1730412990 | Andy M Martin | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2009-09-04 |
| 1609086693 | Mary Carolyn Linder | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Waycross, GA 31501-5246 | 2007-05-22 |
| 1275655987 | Mary A Justyn | Nurse Anesthetist, Certified Registered | 1900 Tebeau St, Waycross, GA 31501-6357 | 2007-04-04 |
| 1457320608 | Anthony Bryant | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Waycross, GA 31501-5246 | 2006-03-17 |
| 1194792390 | Robert M Roberson IIi | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Waycross, GA 31501-5246 | 2006-03-07 |
| 1821065020 | William E Tippins Jr. | Nurse Anesthetist, Certified Registered | 410 Darling Ave, Dept of Anesthesia, Waycross, GA 31501-5246 | 2006-03-07 |
| Find all providers in WAYCROSS | ||||
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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.