Organization Active NPI

MWM Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Peachtree City, GA
National Provider Identifier
1043767858
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MWM ANESTHESIA SERVICES LLC
Practice address
6000 Shakerag HL
Suite 110
Peachtree City, GA 30269-6523
Phone
(678) 489-5414
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Michael Wade Mercer, CRNA
Title
President
Phone
(573) 579-9048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

6000 Shakerag HL
Suite 110
Peachtree City, GA 30269-6523

Mailing address

1639 Bradley Park Dr
Suite 500
Columbus, GA 31904-3620
Phone (573) 579-9048

National Provider Directory

National Provider Directory

Locations

1639 Bradley Park Dr
Ste 500
Columbus, GA 31904

6000 Shakerag Hl
Ste 110
Peachtree Cty, GA 30269
Phone (678) 489-5414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1043767858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 BRADLEY PARK DR",
            "address_2": "SUITE 500",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043620",
            "telephone_number": "573-579-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL",
            "address_2": "SUITE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "678-489-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWM ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-579-9048",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.