Active NPI
Matilda Besong, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN106732
- Practice address
- 616 19TH St
Columbus, GA 31901-1528 - Phone
- (706) 494-4262
- NPI assigned
- Apr 26, 2007
- Last updated
- Oct 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN106732 | GA | Primary |
Addresses
Primary practice location
616 19TH St
Columbus, GA 31901-1528
Mailing address
4095 Soaring Dr
Douglasville, GA 30135-7459
Phone (205) 317-6175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244006770B | Medicaid | GA | |
| 244006770A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Alabama School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3292 Mountain Dr
Decatur, GA 30032-1102
Phone (404) 294-8180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN106732 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GSG Anesthesia, LLC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GSD Anesthesia Providers, LLC | Current | Accepting new patients | |
| Greater Atlanta Anesthesia, LLC | Current | Accepting new patients | |
| Northern Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| WGG Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| JC Anesthesia LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Carolina Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3280 Howell Mill Rd NW
Ste T150
Atlanta, GA 30327
Phone (404) 355-3200
95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200
160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800
3292 Mountain Dr
Decatur, GA 30032
Phone (404) 294-8180
3292 Mountain Dr
Ste A
Decatur, GA 30032
Phone (404) 294-8180
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340
721 Wellness Way
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-7923
5669 Ptree Dunwoody Rd NE
Ste 210
Sandy Springs, GA 30342
Phone (404) 255-4333
1090 Experiment Station Rd
Unit 529
Watkinsville, GA 30677
Phone (706) 621-4108
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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-
- Anesthesiology Physician
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- NPI 1184294761
-
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- NPI 1568256394
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Carrollton, GA
- NPI 1578843280
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Johns Creek, GA
- NPI 1821501206
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191628800000",
"number": "1639399173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4095 SOARING DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301357459",
"telephone_number": "205-317-6175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 19TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011528",
"telephone_number": "706-494-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BESONG",
"first_name": "MATILDA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN106732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244006770B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244006770A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; 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.