Individual provider Active NPI

Jane Bostwick, AA-C

  • Anesthesiologist Assistant
  • Savannah, GA
National Provider Identifier
1184736613
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
003010 Issued in GA
Practice address
1139 Lexington Ave
Savannah, GA 31404-5502
Phone
(912) 429-9020
Fax
(912) 352-0793
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AAA0000001 VT
Anesthesiologist Assistant 367H00000X 003010 GA Primary

Addresses

Primary practice location

1139 Lexington Ave
Savannah, GA 31404-5502

Mailing address

1139 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 429-9020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000756 GA Practitioner - Anesthesiology Assistant 8022004670 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
003010GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia of Georgia LLC CurrentSince Apr 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Jan 18, 2016 Accepting new patients
Anesthesiology Consultants PC Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
New Pointes Anesthesia and Pain, L.L.C. Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

1139 Lexington Ave
Ste B
Savannah, GA 31404
Phone (912) 303-4200

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1184736613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 LEXINGTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045502",
            "telephone_number": "912-429-9020",
            "fax_number": "912-352-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 LEXINGTON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045502",
            "telephone_number": "912-429-9020",
            "fax_number": "912-352-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "VT",
            "license": "AAA0000001",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "003010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.