Organization Active NPI

Middle Georgia Anesthesiology, LLC

  • Certified Registered Nurse Anesthetist
  • Perry, GA
National Provider Identifier
1154638518
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MIDDLE GEORGIA ANESTHESIOLOGY, LLC
Practice address
1040 Morningside Drive
Perry, GA 31069
Phone
(706) 623-4271
Fax
(706) 225-7217
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Paul Weir
Title
Principal
Phone
(706) 425-2239

Specialties & licenses 1

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

Addresses

Primary practice location

1040 Morningside Drive
Perry, GA 31069

Mailing address

6094 14TH St W
Suite 198
Bradenton, FL 34207-4104
Phone (941) 360-1566

National Provider Directory

National Provider Directory

Locations

6094 14th St W
Ste 198
Bradenton, FL 34207

1040 Morningside Dr
Perry, GA 31069
Phone (478) 988-4676

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1154638518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W",
            "address_2": "SUITE 198",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MORNINGSIDE DRIVE",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "31069",
            "telephone_number": "706-623-4271",
            "fax_number": "706-225-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA ANESTHESIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "706-425-2239"
    },
    "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 Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.