Elegance Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ELEGANCE ANESTHESIA

Practice address

577 Mulberry St Ste 110
Macon, GA 31201-8220

Phone

(240) 469-2179

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Kirby Kitchens

Title

Manager

Phone

(240) 469-2179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1508422643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 740F",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850740",
            "telephone_number": "240-469-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MULBERRY ST STE 110",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018220",
            "telephone_number": "240-469-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEGANCE ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "KITCHENS",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-469-2179"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chibuzor Chika Ejike, MD
• Brown Nnamdi Ekeledo, MD
• Chidi William Ekeledo, DO
• Sydney Barnes Ekeledo, MD
• Joshua Seth Elder, RN
• Riuyinosa Elema
• Megan Elisar, M.A.,CCC-SLP
• Elite Ambulance Transportation
• Elite Apothecary Services, LLC
• Elite Chariot Transportation Inc

• All providers in Macon, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.