John Bautista (NPI# 1053335984, PAC ID# 9830108919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053335984 |
| PAC ID by PECOS | 9830108919 |
| Professional Enrollment ID | I20180822001606 |
| Full Name | John Bautista |
| Organization Legal Name | ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC |
| Address |
3100 Kemble Ave Brunswick GA 31520-4253 |
| Phone Number | 9124667000 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN HOMEOPATHIC MEDICAL SCHOOL |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 8729992987 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110025 | SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS |
| 110146 | SOUTHEAST GEORGIA HEALTH SYSTEM -- CAMDEN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 3100 Kemble Ave, Brunswick, GA 31520-4253 | 9124667000 | ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% | |
| MIPS_EC_430_overall | Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy | 94% | |
| QCDR_EC_AQI29_overall | Prevention of Post-Operative Vomiting (POV) – Combination Therapy (Pediatrics) | 87% |
| Organization Legal Name | ALTA ANESTHESIA ASSOCIATES OF GEORGIA, PC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Monteleone | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Wendi L Heberle | Anesthesiology | Alta Anesthesia Associates of Georgia, PC | 777 Gloucester St, Brunswick, GA 31520-7065 |
| John D Porzio | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 777 Gloucester St, Brunswick, GA 31520-7065 |
| Caroline Norris | Anesthesiology Assistant | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Adam Harper | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Angela Hankins | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Heather C Mitchell | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 777 Gloucester St, Brunswick, GA 31520-7065 |
| Steven R Jones | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Amanda G Bracken | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 777 Gloucester St, Brunswick, GA 31520-7065 |
| Lisa A Haltiwanger | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 777 Gloucester St, Brunswick, GA 31520-7065 |
| Street Address |
3100 KEMBLE AVE |
| City | BRUNSWICK |
| State | GA |
| Zip | 31520-4253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon L Monteleone | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Caroline Norris | Anesthesiology Assistant | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Adam Harper | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Angela Hankins | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Steven R Jones | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Theresa A Mcclung | Anesthesiology | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Ansley E Otte | Anesthesiology Assistant | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| John R Rentz | Anesthesiology | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Georgette B Bragg | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Kimberly B Gibbs | Certified Registered Nurse Anesthetist (crna) | Alta Anesthesia Associates of Georgia, PC | 3100 Kemble Ave, Brunswick, GA 31520-4253 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Martin | General Surgery | 650 Scranton Rd, Suite C, Brunswick, GA 31520-1927 | |
| Kerry E Moore | Nurse Practitioner | Heller Family Medicine LLC | 664 Scranton Rd, Brunswick, GA 31520-1946 |
| Richard P Mcewan | Family Medicine | 160 Juniper Court, Suite 101, Brunswick, GA 31520-1952 | |
| Sonya D Roland | Physical Therapy | 216 Harrison Ln, Brunswick, GA 31520-1959 | |
| Yoshi T Graham | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Dana Morgan | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Stephanie R Chapman | Psychiatry | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Gregory C Claxton | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Megan J Woolwine | Nurse Practitioner | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Peri M Kyriacos | Clinical Social Worker | Gateway Behavioral Health Services | 600 Coastal Village Dr, Brunswick, GA 31520-1973 |
| Find all physicians in zip 31520 | |||
| City | BRUNSWICK |
| Zip Code | 31520 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | BRUNSWICK + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on John Bautista.
| 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.