NPIMap

Organization Active NPI

Georgia Anesthesia and Pain Managment

  • Anesthesiology Physician
  • Statesboro, GA
National Provider Identifier
1053419044
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
044246 Issued in GA
Legal business name
GEORGIA ANESTHESIA AND PAIN MANAGMENT
Practice address
1499 Fair Rd
Suite 101
Statesboro, GA 30458-1683
Phone
(912) 486-1121
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Hugh James, MDNPI 1295726354
Title
Head of the Group
Phone
(800) 394-4445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X 044246 GA Primary

Addresses

Primary practice location

1499 Fair Rd
Suite 101
Statesboro, GA 30458-1683

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061030000132 GA Part B Supplier - Clinic/Group Practice 2466459722 Receives reassigned benefits from 4 practitioners
Practice locations: Statesboro, GA

National Provider Directory

National Provider Directory

Locations

1497 Fair Rd
Ste 206
Statesboro, GA 30458
Phone (912) 486-1120

1499 Fair Rd
Ste 101
Statesboro, GA 30458
Phone (912) 486-1121

901 North St W
Vidalia, GA 30474
Phone (912) 537-9316

Practitioners & affiliated clinicians

Practitioners 8

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1053419044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 FAIR RD",
            "address_2": "SUITE 101",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581683",
            "telephone_number": "912-486-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ANESTHESIA AND PAIN MANAGMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "HEAD OF THE GROUP",
        "authorized_official_telephone_number": "800-394-4445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "044246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.