MRS. GEORGETTE BACKUS BRAGG (NPI# 1679792931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679792931 |
| Entity Type | Individual |
| Full Name | MRS. GEORGETTE BACKUS BRAGG |
| Credential | CRNA |
| Practice Address |
101 Egret Pt Savannah GA 31405-8111 |
| Practice Telephone | 9122324110 |
| Mailing Telephone | 9122324110 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
34544 | GA | Ambulatory Health Care Facilities |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN055680 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 EGRET PT |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1164964060 | Jada Akins Lee | Nurse Anesthetist, Certified Registered | 400 Mall Blvd Ste T, Savannah, GA 31406-4861 | 2016-11-08 |
| 1316226079 | Roshanda A Mckinney | Nurse Anesthetist, Certified Registered | 6605 Abercorn St., Suite 108, Savannah, GA 31405-5896 | 2011-08-12 |
| 1104962125 | J&l Anesthesia Inc | Nurse Anesthetist, Certified Registered | 736 Wilmington Island Rd, Suite A, Savannah, GA 31410-4502 | 2007-01-29 |
| 1699875237 | Christina Renae Zavatchen | Nurse Anesthetist, Certified Registered | 2006 Wayne Rd, Savannah, TN 38372-2236 | 2006-09-24 |
| 1942311428 | Richard Eugene Douberly Jr. | Nurse Anesthetist, Certified Registered | 8406 Marcus Pl, Savannah, GA 31406-4939 | 2006-08-31 |
| 1942219142 | Marci A Burris | Nurse Anesthetist, Certified Registered | 4 Briarberry Cv, Savannah, GA 31406-3295 | 2006-08-05 |
| 1588673784 | Mary Elizabeth Curtsinger | Nurse Anesthetist, Certified Registered | 226 Commodore Dr, Savannah, GA 31410-3411 | 2006-08-05 |
| 1174556476 | Martha Dukes Kral | Nurse Anesthetist, Certified Registered | 803 Suncrest Blvd, Savannah, GA 31410-1316 | 2006-07-09 |
| 1851347199 | Lori Stensloff | Nurse Anesthetist, Certified Registered | 49 Mcgrew Ln, Savannah, TN 38372-6761 | 2006-05-26 |
| 1780673459 | Raymond Jeffery Grooms | Nurse Anesthetist, Certified Registered | 5500 Waters Ave, Savannah, GA 31404-6236 | 2005-10-17 |
| Find all providers in SAVANNAH | ||||
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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.