Athens Anesthesia Associates, Inc.
Organization Active NPI Anesthesiology Physician · Athens, TN
NPI 1649229014 · NPPES record last updated Oct 30, 2007
Key facts
- NPI
- 1649229014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ATHENS ANESTHESIA ASSOCIATES, INC.
- Practice address
- 1114 W Madison Ave
Athens, TN 37303-4150 - Phone
- (423) 745-1411
- NPI assigned
- May 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Russell E Long, CRNA
- Title
- President
- Phone
- (423) 424-3695
Practitioners 15
-
John C Asbury, CRNA
-
Chris A Fugunt, CRNA
-
Kimberly B Graves, CRNA
-
Russell E Long, CRNA
-
Michael Justin York, CRNA
-
Jonathan Fisher, CRNA
-
Melissa H Ramsey, MD
-
Richard L Rawson, CRNA
-
Michael D Williamson, CRNA
-
David L Klappholz, CRNA
-
Stephanie Faye Brown, APRN, CRNA
-
Douglas R Barrow, CRNA
-
Michael J Fahey, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060927000040 | TN | Part B Supplier - Clinic/Group Practice | 2961407895 |
Receives reassigned benefits from 12 practitioners Practice locations: Etowah, TN; Athens, TN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1114 W Madison Ave
Athens, TN 37303-4150
Mailing address
PO Box 220
Athens, TN 37371-0220
Phone (423) 424-3695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3734665 | Medicaid | TN | |
| DF1630 | Other | RR MEDICARE |
Other providers in Athens, TN
- Philip Kerney Arnold
- Rashanae Arnwine
- Kayla Arsenault
- Davida Yvonne Asbury
- John C Asbury
- Athens Bone-Joint and Spinal Clinic, PLLC
- Athens City Board of Education
- Athens Clinic of Chiropractic Inc.
- Athens Family Dental
- Athens Pediatrics P.C.
All providers in Athens, TN · Anesthesiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.