MR. MAC BRADLEY DAVIS (NPI# 1942514609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942514609 |
| Entity Type | Individual |
| Full Name | MR. MAC BRADLEY DAVIS |
| Credential | CRNA |
| Practice Address |
209 North Cuthbert Street Colquitt GA 39837 |
| Mailing Address |
Po Box 403 Donalsonville GA 39845 |
| Practice Telephone | 2292204498 |
| Mailing Telephone | 2295248581 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN168512 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 NORTH CUTHBERT STREET |
| City | COLQUITT |
| State | GA |
| Zip Code | 39837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| 1679069231 | Vashawn Renee Mosley | Nurse Practitioner | Hospital Authority of Miller County, Miller County Hospital, 209 N. Cuthbert Street, Colquitt, GA 39837 | 2018-07-07 |
| 1427572361 | Brittany N. Harrison | Physical Therapist | 514 E. Crawford St., Colquitt, GA 39837 | 2017-08-02 |
| 1629417134 | Trevor Lee Butner | Family Medicine | Miller County Medical Center, 208 N. Cuthbert Street, Colquitt, GA 39837 | 2013-06-18 |
| 1730410341 | Loving Care Personal Care Home | Assisted Living Facility | 168 East Crawford St, Colquitt, GA 39837 | 2010-01-21 |
| 1528110103 | The Hospital Authority of Miller County | Clinic/Center | 208 North Cuthbert St, Colquitt, GA 39837 | 2007-01-17 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1508372863 | Megan Odom Battles | Family Medicine | 208 N Cuthbert St, Colquitt, GA 39837 | 2017-12-22 |
| 1790108736 | Amy Askew Sanderson | Registered Nurse | 209 N Cuthbert St, Colquitt, GA 39837 | 2014-01-28 |
| 1063505550 | Donna L Mccann | Family Medicine | 210 W Main St, Ste 4, Colquitt, GA 39837 | 2006-10-02 |
| Find all providers in zip 39837 | ||||
| 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 |
|---|---|---|---|---|
| 1902975675 | Charles J Fetner | Nurse Anesthetist, Certified Registered | 209 N Cuthbert St, Colquitt, GA 39837-3518 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| 1366071557 | Kelly A Winter | Nurse Anesthetist, Certified Registered | 780 Hillmont Ave, Decatur, GA 30030-3944 | 2020-04-08 |
| 1932762580 | Velocity Health Partners LLC | Nurse Anesthetist, Certified Registered | 1075 Bandy Pkwy Ste 105, Locust Grove, GA 30248-7036 | 2019-04-19 |
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1497227797 | Mustapha Timmy Issa | Nurse Anesthetist, Certified Registered | 1403 Elderberry Run Cv, Lawrenceville, GA 30043-3999 | 2018-12-26 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1467927038 | Glga Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1250 Jesse Jewell Pkwy Se Ste 100, Gainesville, GA 30501-3871 | 2018-10-09 |
| 1972098770 | Brett E Mason | Nurse Anesthetist, Certified Registered | 902 S 7th St, Cordele, GA 31015-2855 | 2018-06-25 |
| 1760989925 | Dream Team Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 807 Carroll St Ste C-2002, Perry, GA 31069-3311 | 2018-04-12 |
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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.