Medical Center Anesthesiology of Athens
Organization Active NPI Anesthesiology Physician · Athens, GA
NPI 1003863291 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1003863291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- MEDICAL CENTER ANESTHESIOLOGY OF ATHENS
- Practice address
- 1199 Prince Ave
Athens, GA 30606-2797 - Phone
- (706) 543-3449
- Fax
- (706) 543-5744
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Joyce Martin
- Title
- Credentialing
- Phone
- (888) 550-4266
Practitioners 133
-
Jordan Bauer, M.D.
-
Paul Benford, PAAA
-
Lindsey Hopkins Bowen, PA-AA
-
James Patrick Bryson, CRNA
-
Amie Melissa Clark, CRNA
-
James Wesley Conner, CRNA
-
George Scott Crowell, M.D.
-
Brandy P. Elvington, CRNA
-
David Elvington, PAAA
-
Deborah D Garth, CRNA
-
James Alexander Gill, CRNA
-
Carlton Guthrie, CRNA
-
Joshua Taylor Hammond, M.D.
-
Eric Heil, PAAA
-
Allison Reinecke Hodge, CRNA
-
Benjamin Seth Hodges, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000797 | GA | Part B Supplier - Clinic/Group Practice | 1456246230 |
Receives reassigned benefits from 91 practitioners Practice locations: Athens, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1199 Prince Ave
Athens, GA 30606-2797
Mailing address
PO Box 3209
Indianapolis, IN 46206-3209
Phone (706) 543-3447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB8991 | Other | GA | RAILROAD MEDICARE |
Other providers in Athens, GA
- Angela S McSwain
- Mary Kathryn McSwain
- Andrea Maclin Mealor
- Daniel L Measel
- Larry L Medders
- Medical Office Force
- Medical Supply Assistance, LLC
- Medicap Pharmacy
- Charles Thomas Medlin Jr.
- Medlink Georgia, Inc
All providers in Athens, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.