Justin Michael Davidson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN170478 Issued in GA

Practice address

2594 Northern Oak Dr
Braselton, GA 30517-6058

Phone

(404) 731-9686

Fax

(478) 352-0095

NPI assigned

Feb 24, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Services of North Georgia LLCGroup PAC ID 5395140925, 4 clinicians

Grand Anesthesia LLCGroup PAC ID 0345579876, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Promoting interoperability

96

Improvement activities

40

Cost

81.69

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations (25 of 43)

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.

• Anesthesia Services of North Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1386216604

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD Authorized official
• Grand Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1689230724

  GA

  Medicare reassignment Care Compare group
• Atlanta Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Cumming, GA
  • NPI 1487928370

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Au Anesthesiology LLC

  • Certified Registered Nurse Anesthetist
  • Savannah, GA
  • NPI 1831440478

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Avvc Anesthesia, LLC

  • Medical Specialty Clinic/Center
  • Lawrenceville, GA
  • NPI 1982074431

  GA

  Medicare reassignment NPD
• Center for Spine & Pain Medicine PC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1982186425

  GA

  Medicare reassignment NPD
• Coastal Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1750753786

  GA

  Medicare reassignment NPD
• CSP Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1568946812

  GA

  Medicare reassignment NPD
• Nmda Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1306123336

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1922402445

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Radiance Anesthesia

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1194381236

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• RG Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Rome, GA
  • NPI 1235553421

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1609016187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 NORTHERN OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176058",
            "telephone_number": "404-731-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 NORTHERN OAK DR",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176058",
            "telephone_number": "404-731-9686",
            "fax_number": "478-352-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN170478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Spine & Wellness,LLC
• Crossroads Spine and Wellness
• Wesam Daker, PA-C
• Gary M Dalley, M.D.
• Zachary Daniell, PA
• Kimberly Michel Davis, AGACNP
• Philipa Debrah-Pinamang
• Stephanie Michelle Dees, CNM
• Deanna Mullis Del Mazo, MD
• Cheryl Deluca-Johnson, LPC 004168

• Certified Registered Nurse Anesthetist in Braselton, GA
• Providers in Braselton, 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 Jun 26, 2024; 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.

Verify at the official NPI Registry.