NPIMap

Organization Active NPI

Elite Anesthesia Solutions, LLC

  • Anesthesiology Physician
  • Columbus, GA
National Provider Identifier
1225512932
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ELITE ANESTHESIA SOLUTIONS, LLC
Practice address
2067 Osprey Cove Dr
Columbus, GA 31904-2037
Phone
(770) 883-7660
NPI assigned
Sep 18, 2018
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Sidney Bedell, MDNPI 1255505814
Title
Ceo
Phone
(770) 883-7660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2067 Osprey Cove Dr
Columbus, GA 31904-2037

Mailing address

PO Box 1991
Fortson, GA 31808-1991
Phone (770) 883-7660

Other practice location 1

1224 Stark Ave
Columbus, GA 31906-2500
Phone (770) 883-7660

Other practice location 2

811 22nd St
Columbus, GA 31904-8822
Phone (770) 883-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200828002318 GA Part B Supplier - Clinic/Group Practice 6305263815 Receives reassigned benefits from 21 practitioners
Practice locations: Columbus, GA
O20221128000432 AL Part B Supplier - Clinic/Group Practice 6305263815 Receives reassigned benefits from 19 practitioners
Practice locations: Valley, AL

National Provider Directory

National Provider Directory

Locations

6408 Bradley Park Dr
Columbus, GA 31904
Phone (706) 225-0444

811 22nd St
Columbus, GA 31904
Phone (706) 323-1054

811 22nd St
#M
Columbus, GA 31904

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1225512932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1991",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318081991",
            "telephone_number": "770-883-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 OSPREY COVE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042037",
            "telephone_number": "770-883-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1224 Stark Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319062500",
            "country_code": "US",
            "telephone_number": "770-883-7660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 22nd St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319048822",
            "country_code": "US",
            "telephone_number": "770-883-7660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE ANESTHESIA SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "BEDELL",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-883-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.