MR. COREY REX PETERSON (NPI# 1508942343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508942343 |
| Entity Type | Individual |
| Full Name | MR. COREY REX PETERSON |
| Credential | CRNA |
| Practice Address |
2260 Wrightsboro Rd Augusta GA 30904-4764 |
| Mailing Address |
4478 Sparkleberry Ct Evans GA 30809-4454 |
| Practice Telephone | 7067362273 |
| Practice Fax Number | 7067367171 |
| Mailing Telephone | 7068607362 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN168422 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316326911 | Corey Nathaniel Peterson | Physical Therapist | 1227 E 32nd St, Ste 7, Joplin, MO 64804-2880 | 2015-05-28 |
| Street Address |
2260 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4764 |
| 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 |
| 1487107157 | Ams Southeast LLC | Nurse Anesthetist, Certified Registered | 2260 Wrightsboro Rd, Augusta, GA 30904 | 2016-07-29 |
| 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 |
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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 | 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 |
|---|---|---|---|---|
| 1427596113 | Wesley Hurt | Nurse Anesthetist, Certified Registered | 922 Papaya St, Augusta, GA 30904-3351 | 2017-02-02 |
| 1043631757 | Elisha Rose Coppens | Nurse Anesthetist, Certified Registered | 35 Medical Center Pkwy # Pa, Augusta, ME 04330-8160 | 2013-12-23 |
| 1316108194 | Michele Lawhorn | Nurse Anesthetist, Certified Registered | 1040 Alexander Dr, Apt 3211, Augusta, GA 30909-0243 | 2008-06-24 |
| 1023283223 | Daniel Don Padgett | Nurse Anesthetist, Certified Registered | 2224 Bridgeton Rd, Augusta, GA 30909-0173 | 2008-04-28 |
| 1679751457 | Erin Huey Baynham | Nurse Anesthetist, Certified Registered | 3851 Wheeler Rd, Augusta, GA 30909 | 2008-02-05 |
| 1316009699 | Heather Crosby | Nurse Anesthetist, Certified Registered | 35 Medical Center Pkwy Dept Of, Augusta, ME 04330-8160 | 2006-12-14 |
| 1649351412 | Elizabeth James Castresana | Nurse Anesthetist, Certified Registered | Saint Joseph Hospital, 2260 Wrightsboro Road, Augusta, GA 30904 | 2006-10-18 |
| 1851332548 | Kimberly W Vaughn | Nurse Anesthetist, Certified Registered | 35 Medical Center Pkwy # 207622, Augusta, ME 04330 | 2006-06-10 |
| 1710956214 | Raymond William Griffith | Nurse Anesthetist, Certified Registered | 915 Russell St, Augusta, GA 30904-4115 | 2006-03-16 |
| 1467438176 | Daniel G. Zehr | Nurse Anesthetist, Certified Registered | 804 Scott Nixon Memorial Dr, Augusta, GA 30907-2464 | 2005-12-15 |
| Find all providers in AUGUSTA | ||||
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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.