Southern Nurse Anesthesiology, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SOUTHERN NURSE ANESTHESIOLOGY, LLC

Practice address

1905 Tebeau Street
Waycross, GA 31501-6356

Phone

(800) 204-0099

Fax

(336) 882-2216

NPI assigned

Apr 27, 2012

Last updated

Apr 27, 2012By 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

Anthony Bryant, CRNA

Title

Owner

Phone

(800) 204-0099

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa F Goedert, CRNA

  • Certified Registered Nurse Anesthetist
  • Waycross, GA
  • NPI 1730156381

  Nurse Anesthetist, Certified Registered

  NPD
• John E Thiel Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
  • NPI 1093717506

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1588922504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1051",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315021051",
            "telephone_number": "800-204-0099",
            "fax_number": "336-882-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 TEBEAU STREET",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016356",
            "telephone_number": "800-204-0099",
            "fax_number": "336-882-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NURSE ANESTHESIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-204-0099",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Lung & Critical Care Specialists, PC (Southeast Lung Associates)
• Southeast Lung and Critical Care Specialist
• Southeastern Chiropractic
• Southern Anesthesia Company, LLC.
• Southern Georgia Regional Commission
• Speech Clinic LLC
• Speech-Language Pathology Contractors, Inc.
• Sonda Sperzel, LPC
• Sports Medicine and Rehab Therapy, LLC (SMaRT Physical Therapy)
• Madison Sports, LPC

• Certified Registered Nurse Anesthetist in Waycross, GA
• Providers in Waycross, 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 Apr 27, 2012; 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.