Charles Garland Spann, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

19609 Issued in GA

Practice address

1321 Gordon Ave
Thomasville, GA 31792-7354

Phone

(229) 228-7365

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• South Georgia Anesthesia Associates, PC

  • Pain Medicine (Anesthesiology) Physician
  • Thomasville, GA
  • NPI 1285605733
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245323591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927354",
            "telephone_number": "229-228-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317927354",
            "telephone_number": "229-228-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "CHARLES",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "19609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwestern State Hospital
• Southwestern State Hospital
• Southwestern State Hospital Community Services
• Yuri Leonardo Souza Borges Sr.
• Sovereign and Grace Services
• Molly Moye Squires, CCC-SLP
• Jerusha Stacey, NP-P/MH
• Leslie C. Stanaland, N.P.
• Sheila L Stanley, LPC
• Dawn Sampson Stapp, M ED. CCC-SLP

• Anesthesiology Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.