Active NPI
Dream Work Anesthesia, LLC
- Anesthesiology Physician
- Augusta, GA
National Provider Identifier
1407173891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- DREAM WORK ANESTHESIA, LLC
- Practice address
- 811 13TH St Ste 17
Augusta, GA 30901-2771 - Phone
- (706) 724-4111
- NPI assigned
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lance Hudson, CRNA
- Title
- President
- Phone
- (706) 855-9860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
811 13TH St Ste 17
Augusta, GA 30901-2771
Mailing address
PO Box 3023
Evans, GA 30809-0077
Phone (706) 855-9860
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1407173891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3023",
"city": "EVANS",
"state": "GA",
"postal_code": "308090077",
"telephone_number": "706-855-9860",
"fax_number": "706-860-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 13TH ST STE 17",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309012771",
"telephone_number": "706-724-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM WORK ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "LANCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-855-9860",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.