Traci E Bryan (NPI# 1164528618, PAC ID# 4789628421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1164528618 |
| PAC ID by PECOS | 4789628421 |
| Professional Enrollment ID | I20050614000865 |
| Full Name | Traci E Bryan |
| Organization Legal Name | MOUNTAINSIDE ANESTHESIA CONSULTANTS, LLC |
| Address |
1266 Hwy 515 S Jasper GA 30143-4872 |
| Phone Number | 7063015511 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1997 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2365430899 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1266 Hwy 515 S, Jasper, GA 30143-4872 | 7063015511 | MOUNTAINSIDE ANESTHESIA CONSULTANTS, LLC |
| 531 Roselane St Nw, Suite 830, Marietta, GA 30060-6979 | 7707940477 | GEORGIA ANESTHESIOLOGISTS, P.C. |
| Organization Legal Name | MOUNTAINSIDE ANESTHESIA CONSULTANTS, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dane K Gregory | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| James Wesley Conner | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Roger Lee Brown | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Susanne Raisor | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Woodley B Mardy-davis | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Christine R Jackson | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| James Bryson | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Jeffrey I Kalish | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Darbye Suzanne Mcclanahan | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Rosemarie Spillane | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Street Address |
1266 HWY 515 S |
| City | JASPER |
| State | GA |
| Zip | 30143-4872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley D Hare | General Surgery | Piedmont Specialty Hospital Billing | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Sarah Latif | Hospitalist | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Dane K Gregory | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Devra E Kiewit | Nurse Practitioner | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| James Wesley Conner | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Nagamalar Raju | Internal Medicine | Piedmont Providers LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Andy M Jaffal | Internal Medicine | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Rosa L Langella | General Surgery | Piedmont Providers LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Roger Lee Brown | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Susanne Raisor | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Rainwater | Family Medicine | Piedmont Medical Care Corporation | 1020 Jl White Dr, Suite 170, Jasper, GA 30143 |
| Nathan Smith | Anesthesiology | Physician Pain Care,p.c. | 49 Gordon Rd, Suite 101, Jasper, GA 30143-1017 |
| Kumi D Swart | Family Medicine | Internal Medicine Associates of Jasper, PC | 51 Gordon Rd, Suite 201, Jasper, GA 30143-1017 |
| Kathleen J Dunn | Clinical Social Worker | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Ann S Pike | Psychologist, Clinical | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Mary L Denton | Clinical Social Worker | 505 Cove Rd, Suite 6, Jasper, GA 30143-1363 | |
| Rose A Darby | Optometry | 800 W Church St, Jasper, GA 30143-1406 | |
| Nathan L Chapman | Chiropractic | 49 Bryant St, F, Jasper, GA 30143-1490 | |
| Karl W Kurth | Chiropractic | 95 N Main St, Jasper, GA 30143-1503 | |
| John T Mauldin Jr. | Clinical Psychologist | John Mauldin Phd LLC | 35 B N Main St, Jasper, GA 30143-1558 |
| Find all physicians in zip 30143 | |||
| City | JASPER |
| Zip Code | 30143 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JASPER + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Traci E Bryan.
| 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.