James A Joseph, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Lavonia, GA
NPI 1598801524 · NPPES record last updated Dec 16, 2015
Key facts
- NPI
- 1598801524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN079744 (GA)
- Practice address
- 367 Clear Creek Pkwy
Lavonia, GA 30553-4173 - Phone
- (706) 356-7800
- Fax
- (706) 567-6036
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN079744 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ty Cobb Healthcare System, Inc | Past | Accepting new patients | |
| Ty Cobb Healthcare System | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN079744 | GA | Yes |
Addresses
Primary practice location
367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Mailing address
4523 Highway 246 N
Hodges, SC 29653-9705
Phone (864) 374-7363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025919180E | Medicaid | GA | |
| 025919180F | Medicaid | GA | |
| 025919810A | Medicaid | GA | |
| 025919180B | Medicaid | GA |
Other providers in Lavonia, GA
- Phillip R James
- Emily Grace Jones
- Jada Jones
- Thomas D Jones
- Victoria Lynn Jordan
- Gordon M Kelly
- Lavonia Emergency Group LLC
- Lavonia Physician Services, LLC
- Lighthouse Family Practice
- David C Martin
All providers in Lavonia, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.