Active NPI
Jason Michael Geddings, AA
- Anesthesiologist Assistant
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 005671
- Practice address
- 2310 N Patterson St BLDG C
Valdosta, GA 31602-2500 - Phone
- (229) 244-6852
- Fax
- (229) 242-2385
- NPI assigned
- Oct 6, 2009
- Sex
- Male
- 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 | 005671 | GA | Primary |
Addresses
Primary practice location
2310 N Patterson St BLDG C
Valdosta, GA 31602-2500
Mailing address
2310 N Patterson St BLDG C
Valdosta, GA 31602-2500
Phone (229) 244-6852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005671 | Other | GA | GEORGIA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
Hospital & facility affiliations
- Southwell Medical, a Campus of TRMC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005671 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Valdosta Anesthesia Associates, P.C. | Current | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
2800 N Oak St
Valdosta, GA 31602
Phone (229) 244-1211
2310 N Patterson St
Bldg C
Valdosta, GA 31602
Phone (229) 244-6852
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Specialist
- Valdosta, GA
- NPI 1134148208
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
- Pediatrics Physician
- Tifton, GA
- NPI 1366765166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adel, GA
- NPI 1568410264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254787200000",
"number": "1497080659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2310 N PATTERSON ST BLDG C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022500",
"telephone_number": "229-244-6852",
"fax_number": "229-242-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 N PATTERSON ST BLDG C",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022500",
"telephone_number": "229-244-6852",
"fax_number": "229-242-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEDDINGS",
"first_name": "JASON",
"middle_name": "MICHAEL",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-06",
"last_updated": "2009-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "005671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA LICENSE",
"identifier": "005671",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.