NPIMap

Organization Active NPI

Ironcrest Anesthesia LLC

  • Anesthesiology Physician
  • Milledgeville, GA
National Provider Identifier
1114815271
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
IRONCREST ANESTHESIA LLC
Practice address
3725 Sussex Dr NE
Milledgeville, GA 31061-9349
Phone
(478) 974-1265
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Erin Denton
Title
Authorized Official
Phone
(478) 974-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

3725 Sussex Dr NE
Milledgeville, GA 31061-9349

Mailing address

3725 Sussex Dr NE
Milledgeville, GA 31061-9349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260115000149 GA Part B Supplier - Clinic/Group Practice 1850877259 Receives reassigned benefits from 47 practitioners
Practice locations: Stockbridge, GA; Statesboro, GA; Macon, GA; Jesup, GA; Cartersville, GA; Gainesville, GA; Eastman, GA; Forest Park, GA…
O20260225003411 FL Part B Supplier - Clinic/Group Practice 1850877259 Receives reassigned benefits from 39 practitioners
Practice locations: Jacksonville, FL; Titusville, FL; Tallahassee, FL; Ocala, FL; Gainesville, FL

National Provider Directory

National Provider Directory

Locations

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

2311 Lake Park Dr
Albany, GA 31707
Phone (229) 435-0525

5400 Bowman Rd
Macon, GA 31210
Phone (478) 621-4501

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1114815271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 SUSSEX DR NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 SUSSEX DR NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310619349",
            "telephone_number": "478-974-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONCREST ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "478-974-1265"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.