Active NPI
Sallie S Bateman, PA/AA
- Anesthesiologist Assistant
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 004333
- Practice address
- 380 Hospital Dr
Suite 410
Macon, GA 31217 - Phone
- (478) 746-5644
- Fax
- (478) 745-4849
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 004333 | GA | Primary |
Addresses
Primary practice location
380 Hospital Dr
Suite 410
Macon, GA 31217
Mailing address
PO Box 2564
Macon, GA 31203
Phone (478) 746-5644
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326281 | Other | GA | WELLCARE |
| P00212669 | Other | GA | RAILROAD MEDICARE |
| 417581048E | Medicaid | GA | |
| 417581048D | Medicaid | GA | |
| 417581048B | Medicaid | GA | |
| 417581048C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000421 | GA | Practitioner - Anesthesiology Assistant | 0042279358 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Mercer University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Anesthesia LLC
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
340 Hospital Dr
BLDG E
Macon, GA 31217-3838
Phone (478) 746-7577
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 746-7577
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 746-7577
Hospital & facility affiliations
- Coliseum Medical Centers, LLC, Dba
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia LLC | Current | Accepting new patients |
Locations
380 Hospital Dr
Ste 380
Macon, GA 31217
Phone (478) 746-5644
380 Hospital Dr
Ste 410
Macon, GA 31217
Phone (478) 745-1215
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1295743003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2564",
"city": "MACON",
"state": "GA",
"postal_code": "31203",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 HOSPITAL DR",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "31217",
"telephone_number": "478-746-5644",
"fax_number": "478-745-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "SALLIE",
"middle_name": "S",
"credential": "PA/AA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "004333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "326281",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00212669",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417581048E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417581048D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417581048B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417581048C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.