Southern Anesthesia Company, LLC.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SOUTHERN ANESTHESIA COMPANY, LLC.

Practice address

306 Isabella St
Waycross, GA 31501-3636

Phone

(850) 251-2511

NPI assigned

Sep 11, 2014

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John G Wooley II, CRNANPI 1760450316

Title

Partner

Phone

(850) 251-2511

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• General Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Hazlehurst, GA
  • NPI 1134509680

  Member Of

  NPD member

Practitioners 2

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.

• John Gary Wooley II, CRNA

  • Certified Registered Nurse Anesthetist
  • Douglas, GA
  • NPI 1760450316
  Authorized official Same address or phone
• Michael James Lupi, DO

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1407822067
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1184025942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 ISABELLA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ISABELLA ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013636",
            "telephone_number": "850-251-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ANESTHESIA COMPANY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "WOOLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "850-251-2511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Georgia Primary Care
• Southeast Internal Medicine PC
• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung and Critical Care Specialist
• Southeastern Chiropractic
• Southern Georgia Regional Commission
• Southern Nurse Anesthesiology, LLC
• Speech Clinic LLC
• Speech-Language Pathology Contractors, Inc.
• Sonda Sperzel, LPC

• Certified Registered Nurse Anesthetist in Waycross, GA
• Providers in Waycross, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.