IPS OF CONYERS LLC (NPI# 1245503515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245503515 |
| Entity Type | Organization |
| Organization Name | IPS OF CONYERS LLC |
| Practice Address |
1301 Sigman Rd Ne Suite 120 Conyers GA 30012-3812 |
| Mailing Address |
Po Box 864778 Orlando FL 32886-0001 |
| Practice Telephone | 7707609360 |
| Mailing Telephone | 8883373509 |
| Mailing Fax Number | 9413283997 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | DR. CARL RICHARDSON NOBACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8883373309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 SIGMAN RD NE SUITE 120 |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732657 | Roy Lamar Talley Jr. | Anesthesiology | 1301 Sigman Rd Ne, Suite 100, Conyers, GA 30012 | 2005-10-03 |
| 1235671645 | Michelle Emerson | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-16 |
| 1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
| 1679933774 | Excalibur Anesthesia Associates Inc | Anesthesiology | 1301 Sigman Rd Ne, Suite 120, Conyers, GA 30012-3812 | 2016-03-02 |
| 1730576786 | Erika Dorsey | Nurse Practitioner | 1301 Sigman Rd Ne, Suite 200, Conyers, GA 30012-3812 | 2015-04-16 |
| 1376965947 | April Ramsey | Registered Nurse | 1301 Sigman Rd Ne, Ste 130, Conyers, GA 30012-3812 | 2014-01-15 |
| 1386065878 | Patricia Julia Gonzalez | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2013-12-30 |
| 1891050381 | Rockdale Physician Practices LLC | Psychiatry & Neurology | 1301 Sigman Rd Ne, Suite 225, Conyers, GA 30012-3812 | 2012-07-10 |
| 1861765224 | Beate Sass | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2012-02-15 |
| 1811272495 | Rockdale Physician Practices LLC | Internal Medicine | 1301 Sigman Rd Ne, Suite 230, Conyers, GA 30012-3812 | 2011-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| 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 |
|---|---|---|---|---|
| 1164795993 | Lisa R. Johnson | Nurse Anesthetist, Certified Registered | 2053 Reflection Creek Dr, Conyers, GA 30013-7423 | 2012-02-09 |
| 1871525428 | Brenda D. Buchanan | Nurse Anesthetist, Certified Registered | 1388 Wellbrook Circle, A, Conyers, GA 30012-3872 | 2006-07-06 |
| 1851344089 | Patricia Lynn Brunton | Nurse Anesthetist, Certified Registered | 3691 Sandhill Dr Se, Conyers, GA 30094-3733 | 2006-05-18 |
| 1427043983 | Jennifer Tricia Willis | Nurse Anesthetist, Certified Registered | 2608 Crest Valley Drive, Conyers, GA 30094 | 2005-09-12 |
| 1053735548 | Regina Greenfield | Nurse Anesthetist, Certified Registered | 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012-3865 | 2014-02-05 |
| 1548532898 | Cristy Y Burkle | Nurse Anesthetist, Certified Registered | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 2012-02-02 |
| 1144398488 | Tabitha Beverly | Nurse Anesthetist, Certified Registered | 1388b Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2006-12-04 |
| 1013084136 | Marcia E Steinberg | Nurse Anesthetist, Certified Registered | 1388 Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2006-11-30 |
| 1194790907 | Veronica Chambliss | Nurse Anesthetist, Certified Registered | 1388b Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2006-02-23 |
| 1396710844 | Talitha Bonner | Nurse Anesthetist, Certified Registered | 1388b Wellbrook Cir Ne, Conyers, GA 30012-3872 | 2006-02-20 |
| Find all providers in CONYERS | ||||
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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.