Robert Dickerson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN129618 Issued in GA

Practice address

1013 Cherokee Rd
Perry, GA 31069-0824

Phone

(478) 318-0414

NPI assigned

May 31, 2006

Last updated

Feb 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AL, CT, NC4 enrollments

Enrollment records 4

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians

Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Piedmont Macon North Hospital Hospital, Macon, GA, CCN 110201

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Piedmont Anesthesia LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1700474244
  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Montgomery PC

  • Anesthesiology Physician
  • Montgomery, AL
  • NPI 1780636233
  Medicare reassignment Care Compare group
• Emory Specialty Associates, LLC

  • Anesthesiology Physician
  • Lagrange, GA
  • NPI 1407864168
  Medicare reassignment NPD
• Mak Anesthesia Holdings LLC

  • Anesthesiology Physician
  • Kennesaw, GA
  • NPI 1912452939
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Firsthealth of the Carolinas, Inc

  dba Montgomery Memorial Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Troy, NC
  • NPI 1053482596

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Phoebe Senior Center

  • Clinic/Center
  • Camilla, GA
  • NPI 1821394271
  NPD
• Firsthealth of the Carolinas, Inc

  dba Moore Regional Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Pinehurst, NC
  • NPI 1851477970

  Nurse Anesthetist, Certified Registered

  NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  dba FirstHealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  dba Piedmont Macon Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• Macon Northside Hospital, LLC

  dba Piedmont Macon North Hospital

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1811940976
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1003853052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690824",
            "telephone_number": "478-318-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHEROKEE RD",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310690824",
            "telephone_number": "478-318-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN129618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latifah K Decker, M.ED., CCC-SLP
• Kaylan Dekle
• Tony Monroe Deloach, D.D.S.
• Dermatology Services of Georgia, PLLC
• Shireen Dhir
• Joe Mathis Dixon, O.D.
• Sue A Dobos, CRNA
• Julie Cromer Doster, M.ED.CCC-SLP
• Dr. Brian Gillis P C (Perry Chiropractic health Center)
• Dream Team Anesthesia Associates Inc

• Certified Registered Nurse Anesthetist in Perry, GA
• Providers in Perry, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.