Michael Shane Exum (NPI# 1124564950, PAC ID# 1052695186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1124564950 |
| PAC ID by PECOS | 1052695186 |
| Professional Enrollment ID | I20170308002234 |
| Full Name | Michael Shane Exum |
| Organization Legal Name | VALDOSTA ANESTHESIA ASSOCIATES, P.C. |
| Address |
2501 N Patterson St Valdosta GA 31602-1735 |
| Phone Number | 2292446852 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941296636 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2501 N Patterson St, Valdosta, GA 31602-1735 | 2292446852 | VALDOSTA ANESTHESIA ASSOCIATES, P.C. |
| Organization Legal Name | VALDOSTA ANESTHESIA ASSOCIATES, P.C. |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Stephen Colyer | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Cole Burgess | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Heath Farmer | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| John C Pike | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Andrew B Gay | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Travis L Bailey | Anesthesiology | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Bonnie K Johnson | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Justin Booth | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Jeffery Allan Baggett | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Curtis L Avera | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Street Address |
2501 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-1735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Stephen Colyer | Anesthesiology Assistant | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Cole Burgess | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Heath Farmer | Certified Registered Nurse Anesthetist (crna) | Valdosta Anesthesia Associates, P.C. | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Sumit Patel | Hospitalist | Apogee Medical Group Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Felix G Valdez | Hospitalist | Apogee Medical Group Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| James Richard Davis | General Surgery | Hospital Authority of Valdosta and Lowndes County Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Shaheryar Ali Jafri | Hospitalist | Apogee Medical Group Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Wesley A Gabbard | Critical Care (intensivists) | Apogee Medical Group Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Julene D Smith | Nurse Practitioner | Hospital Authority of Valdosta and Lowndes County Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Marie Carmelle Elie | Emergency Medicine | Hospital Authority of Valdosta and Lowndes County Georgia | 2501 N Patterson St, Valdosta, GA 31602-1735 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | VALDOSTA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.