Sentry Anesthesia Management, LLC
Organization Active NPI Anesthesiology Physician · Newnan, GA
NPI 1134544794 · NPPES record last updated May 25, 2021
Key facts
- NPI
- 1134544794
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- SENTRY ANESTHESIA MANAGEMENT, LLC
- Practice address
- 80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194 - Phone
- (770) 251-2060
- Fax
- (678) 854-9235
- NPI assigned
- Feb 19, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry A Cranfill, CRNA
- Title
- Practice Administrator
- Phone
- (770) 251-2060
Practitioners 822
-
Brandon Allen, CRNA
-
Jayne Drake Andrews, CRNA FAAPM
-
Rohit Kumar Avula, CRNA
-
Mark E Axness, MD
-
Lyndi Brooke Bailey Manfredi, CRNA, APRN
-
Michele Marie Ballister, DNP APRN CRNA CHSE
-
Shawn Biddle, CRNA
-
Katherine Bone, CRNA
-
Kerri K Broich, CRNA
-
Katie R Cacciapalle, CRNA
-
Lana Cankovic, MD
-
Nihal Eisa Cassady, M.D.
-
Ashlee Zackeru Chafin, CRNA
-
Michael Kirk Chastain, CRNA
-
Carlita Clark, RN, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140521002571 | GA | Part B Supplier - Clinic/Group Practice | 9436372323 | Receives reassigned benefits from 721 practitioners |
National Provider Directory
Locations
3200 Downwood Cir NW
Ste 240
Atlanta, GA 30327
Phone (404) 355-7000
3580 Piedmont Rd NE
Ste 207
Atlanta, GA 30305
Phone (404) 233-5385
3672 Marathon Cir
Ste 200
Austell, GA 30106
Phone (770) 944-3303
3215 Shrine Rd
Ste 8
Brunswick, GA 31520
Phone (912) 264-9024
2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000
1463 Klondike Rd SW
Ste C
Conyers, GA 30094
Phone (770) 483-9692
350 Brandywine Blvd
Ste 101
Fayetteville, GA 30214
Phone (678) 801-6818
601 Broad St SE
Ste E
Gainesville, GA 30501
Phone (678) 971-4227
6300 Hospital Pkwy
Ste 375B
Johns Creek, GA 30097
Phone (770) 771-5265
3333 Jodeco Rd
Ste D
McDonough, GA 30253
Phone (770) 474-1919
1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040
80 Newnan Station Dr
Ste A
Newnan, GA 30265
1100 Johnson Fy Rd NE
Ste 593
Sandy Springs, GA 30342
Phone (404) 255-9096
140 Eagle Spring Ct
Ste B
Stockbridge, GA 30281
Phone (770) 302-0878
115 Eagle Spring Dr
Ste 201
Stockbridge, GA 30281
Phone (770) 474-0064
2805 N Oak St
Valdosta, GA 31602
Phone (229) 244-2562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X |
Addresses
Primary practice location
80 Newnan Station Dr
Suite a
Newnan, GA 30265-3194
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (239) 610-0775
Other providers in Newnan, GA
- Pamela Sehra
- William Edward Sellars
- Emily A Sellers
- Senior Therapy Solutions, LLC
- Senoia Drug Co Inc.
- Jin Hyuk Seo
- Anastasia Lynn Sessions
- Nzinga Severe
- Yetrevias Seymour
- Sara Shackleford
All providers in Newnan, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.