NPIMap

Organization Active NPI

Middle Georgia Anesthesia Services, LLC

  • Anesthesiology Physician
  • Macon, GA
National Provider Identifier
1013996800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
047779 Issued in GA
Legal business name
MIDDLE GEORGIA ANESTHESIA SERVICES, LLC
Practice address
505 Billingswood Dr
Macon, GA 31210-1565
Phone
(478) 474-6886
Fax
(478) 477-3170
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fran Stapleton
Title
Office Manager
Phone
(478) 474-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 047779 GA Primary

Addresses

Primary practice location

505 Billingswood Dr
Macon, GA 31210-1565

Mailing address

505 Billingswood Dr
Macon, GA 31210-1565
Phone (478) 474-6886

National Provider Directory

National Provider Directory
Tax ID family
Middle Georgia Anesthesia Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013996800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BILLINGSWOOD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101565",
            "telephone_number": "478-474-6886",
            "fax_number": "478-477-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BILLINGSWOOD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101565",
            "telephone_number": "478-474-6886",
            "fax_number": "478-477-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAPLETON",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-474-6886"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "047779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.