Active NPI
Cole Burgess, CRNA
- Certified Registered Nurse Anesthetist
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN192175
- Practice address
- 901 18TH St E
Tifton, GA 31794-3648 - Phone
- (229) 353-6124
- Fax
- (229) 353-7722
- NPI assigned
- Sep 14, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Valdosta, GA
- NPI 1134148208
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1306123336
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1669737409
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1003168923
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1649463365
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1003040502
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Valdosta Anesthesia Associates, P.C.
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 244-6852
Hospital & facility affiliations
- SGMC Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121128000047 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850542747 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192175 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valdosta Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Sweet Dreams Nurse Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nmda Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Anesthesiology Nurses of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Synergy Anesthesiology Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sweet Dreams Nurse Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008
4660 Riverside Park Blvd
Macon, GA 31210
Phone (478) 471-6300
1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114
2310 N Patterson St
Bldg C
Valdosta, GA 31602
Phone (229) 244-6852
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN192175 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
901 18TH St E
Tifton, GA 31794-3648
Mailing address
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 353-6124
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN192175 | Other | GA | LICENSE NUMBER |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2011.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1003198268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-353-6124",
"fax_number": "229-353-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-353-6124",
"fax_number": "229-353-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "COLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN192175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "RN192175",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.