Active NPI
William A Welch Sr., CRNA
- Certified Registered Nurse Anesthetist
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN056740
- Practice address
- 4280 N Valdosta Rd
Dept of Anesthesia
Valdosta, GA 31602-6814 - Phone
- (229) 671-2066
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1027000 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN056740 | GA | Primary |
Addresses
Primary practice location
4280 N Valdosta Rd
Dept of Anesthesia
Valdosta, GA 31602-6814
Mailing address
184 Douglas Pointe Dr
Bainbridge, GA 39819-5185
Phone (229) 243-0045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300032227A | Medicaid | GA | |
| 133164367G | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1027000 | AL | MD | Certified Registered Nurse Anesthetist |
| RN056740 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okefenokee Anesthesia Company LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Georgia Anesthesia Specialists LLC | Current | Accepting new patients | |
| Anesthesia Resources Management Solutions Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Central Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Vaughan Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Eclipse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Memorial Health Anesthetists | Past | Accepting new patients | |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Georgia Anesthesia Group, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
1501 Alice St
Waycross, GA 31501
Phone (844) 469-4936
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Waycross, GA
- NPI 1538403324
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Valdosta, GA
- NPI 1700054327
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1972638047
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1467400481
Nurse Anesthetist, Certified Registered
-
dba AHP of Macon LLC
- Anesthesiology Physician
- Macon, GA
- NPI 1811174964
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
-
- Anesthesiology Physician
- Duluth, GA
- NPI 1831415165
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oxford, AL
- NPI 1063461010
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1043281553
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Montgomery, AL
- NPI 1780636233
Nurse Anesthetist, Certified Registered
-
dba Vaughan Regional Medical Center-Parkway Campus
- Anesthesiology Physician
- Selma, AL
- NPI 1114088846
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1225066780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 DOUGLAS POINTE DR",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398195185",
"telephone_number": "229-243-0045",
"fax_number": "229-243-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 N VALDOSTA RD",
"address_2": "DEPT OF ANESTHESIA",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316026814",
"telephone_number": "229-671-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1027000",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN056740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300032227A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133164367G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.