Active NPI
Middle Georgia Anesthesiology, LLC
- Certified Registered Nurse Anesthetist
- Perry, GA
National Provider Identifier
1154638518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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 DirectoryLocations
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.