NPIMap

Organization Active NPI

Southern Anesthesia Service

  • Certified Registered Nurse Anesthetist
  • Evans, GA
National Provider Identifier
1144344920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SOUTHERN ANESTHESIA SERVICE
Practice address
1159 Oakton TRL
Evans, GA 30809-5224
Phone
(706) 854-9997
Fax
(706) 854-8454
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cathy S Neville
Title
Billing
Phone
(912) 682-6279

Specialties & licenses 1

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

Addresses

Primary practice location

1159 Oakton TRL
Evans, GA 30809-5224

Mailing address

1159 Oakton TRL
Evans, GA 30809-5224
Phone (706) 854-9997

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144344920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 OAKTON TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095224",
            "telephone_number": "706-854-9997",
            "fax_number": "706-854-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1159 OAKTON TRL",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095224",
            "telephone_number": "706-854-9997",
            "fax_number": "706-854-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ANESTHESIA SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "912-682-6279"
    },
    "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 Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.