AMS SOUTHEAST LLC (NPI# 1487107157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487107157 |
| Entity Type | Organization |
| Organization Name | AMS SOUTHEAST LLC |
| Practice Address |
2260 Wrightsboro Rd Augusta GA 30904 |
| Mailing Address |
Po Box 3184 Springfield IL 62708-3184 |
| Practice Telephone | 9413601566 |
| Practice Fax Number | 9413589818 |
| Mailing Telephone | 9413601566 |
| Mailing Fax Number | 9413589818 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | DAVD W. SIMPSON (MEMBER) |
| Authorized Official Telephone | 9413601566 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | GA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2260 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616213 | Augusta Hospital LLC | General Acute Care Hospital | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2005-06-01 |
| 1396254207 | Katelyn Woods Capers | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2017-09-22 |
| 1730532888 | Jose Emanuel Castro | Nurse Anesthetist, Certified Registered | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2016-07-13 |
| 1952771701 | Matthew Ian Giddens | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-10-05 |
| 1265816714 | Misty Kent | Nurse Practitioner | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-07-15 |
| 1861871980 | Wrightsboro Emergency Group LLC | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-05-21 |
| 1912386038 | Wrightsboro Physician Services LLC | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-05-21 |
| 1356730840 | William Carpenter | Registered Nurse | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2015-01-21 |
| 1316357718 | Addisu Bekele Workneh | Internal Medicine | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2014-05-07 |
| 1952673006 | Georgia Em-i Medical Services, PC | Physician Assistant | 2260 Wrightsboro Rd, Augusta, GA 30904-4764 | 2012-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370035 | Maria Gabriela Sanchez Gonzalez | Anesthesiology | 1120 15th St # Bi-2144, Augusta, GA 30912-0004 | 2020-06-09 |
| 1437644226 | Prathik Mudaliar Mudaliar | Anesthesiology | 11250 15th Street, Augusta, GA 30912-0001 | 2018-06-25 |
| 1982061677 | Robert Scott Medearis | Anesthesiology | 1120 15th Street, Biw 2144, Augusta, GA 30912 | 2016-01-26 |
| 1043620248 | Katie Barnett | Anesthesiology | 1120 15th Street Biw-2144, Attn: Karen Mcdaniel, Augusta, GA 30912-2700 | 2014-04-28 |
| 1285072850 | Amjad Najim | Anesthesiology | 1120 15th St # Bi2144, Augusta, GA 30912-3450 | 2013-06-05 |
| 1992091029 | Nihal Eisa | Anesthesiology | 1824 Walton Way, Augusta, GA 30904-3804 | 2011-06-27 |
| 1407156953 | Shalin C Shah | Anesthesiology | 1367 Interstate Pkwy, Augusta, GA 30909-5626 | 2010-11-01 |
| 1407173891 | Dream Work Anesthesia, LLC | Anesthesiology | 811 13th St Ste 17, Augusta, GA 30901-2771 | 2010-04-26 |
| 1841522240 | Jennifer Regan Burdette | Anesthesiology | 3055 Hillsdale Dr, Augusta, GA 30909-3427 | 2010-02-10 |
| 1942469861 | James Roger Bullard | Anesthesiology | 707 Somerset Way, Augusta, GA 30909-3146 | 2008-06-05 |
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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.