Maximus Anesthesia Services LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MAXIMUS ANESTHESIA SERVICES LLC

Practice address

4030 Riverside Park Blvd
Macon, GA 31210-1365

Phone

(478) 474-2200

Fax

(478) 314-0740

NPI assigned

Oct 3, 2008

Last updated

Oct 3, 2008By 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

William Alexander Leatherwood, CRNA

Title

President

Phone

(478) 986-8027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1255582623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6094 14TH ST W # 119",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342074104",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101365",
            "telephone_number": "478-474-2200",
            "fax_number": "478-314-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUS ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "LEATHERWOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-986-8027",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharron D. Mathis
• Sophia Laverne Mathis
• Vinita Mathur, MD
• Sarah Matovu, M.D.
• Cherlyn Mitzi Matthews, NP-C
• Schane Maxis, NP
• Charles Bush May, M.D.
• Merrill Sloan May, FNP-C
• Michelle D Mayhue, NP-C
• Dana Lindsey Mayo, MD

• Certified Registered Nurse Anesthetist in Macon, GA
• Providers in Macon, 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 3, 2008; 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.