Organization Active NPI

Veralynn Anesthesia Associates of Georgia, LLC

  • Certified Registered Nurse Anesthetist
  • Royston, GA
National Provider Identifier
1649416660
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN065069 Issued in GA
Legal business name
VERALYNN ANESTHESIA ASSOCIATES OF GEORGIA, LLC
Practice address
521 Franklin Springs St
Dept of Anesthesia
Royston, GA 30662-3934
Phone
(706) 245-5071
Fax
(336) 553-3994
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Mr. Charles D Wilson, CRNA
Title
President
Phone
(706) 845-1473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN065069 GA Primary

Addresses

Primary practice location

521 Franklin Springs St
Dept of Anesthesia
Royston, GA 30662-3934

Mailing address

273 Stovall Rd
Lagrange, GA 30241-9094
Phone (706) 845-1473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1649416660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 STOVALL RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302419094",
            "telephone_number": "706-845-1473",
            "fax_number": "336-553-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 FRANKLIN SPRINGS ST",
            "address_2": "DEPT OF ANESTHESIA",
            "city": "ROYSTON",
            "state": "GA",
            "postal_code": "306623934",
            "telephone_number": "706-245-5071",
            "fax_number": "336-553-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERALYNN ANESTHESIA ASSOCIATES OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-845-1473",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN065069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.