Individual provider Active NPI

David Laguardia, CRNA

  • Certified Registered Nurse Anesthetist
  • Newnan, GA
National Provider Identifier
1083789333
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN060559 Issued in GA
Practice address
80 Newnan Station Drive, Suite a
Newnan, GA 30265
Phone
(770) 251-2060
Fax
(678) 854-9235
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN060559 GA Primary

Addresses

Primary practice location

80 Newnan Station Drive, Suite a
Newnan, GA 30265

Mailing address

PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090820000073 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254485675 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Jul 1, 2014 Accepting new patients
Southern Crescent Anesthesiology, PC Nurse Anesthetist, Certified Registered CurrentSince Apr 15, 1997 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Mar 5, 2013 Accepting new patients
Southern Crescent Nurse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Meriwether Healthcare, L.L.C. PastSince Oct 30, 2009 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

158 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-1008

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

3150 Highway 34 E
#195
Newnan, GA 30265

3150 Highway 34 E
Newnan, GA 30265
Phone (770) 254-3035

3150 Highway 34 E
Ste 195
Newnan, GA 30265

3150 Highway 34 E
Ste 197
Newnan, GA 30265

80 Newnan Station Dr
Ste A
Newnan, GA 30265

80 Jackson St
Newnan, GA 30263
Phone (770) 253-2330

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1083789333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73709",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302713709",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DRIVE, SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUARDIA",
        "first_name": "DAVID",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN060559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.