Sweet Dreams Anesthesiology Nurses of Georgia LLC
Organization Active NPI Certified Registered Nurse Anesthetist · Macon, GA
NPI 1669737409 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1669737409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- SWEET DREAMS ANESTHESIOLOGY NURSES OF GEORGIA LLC
- Practice address
- 577 Mulberry St Ste 110
Macon, GA 31201-8220 - Phone
- (888) 728-0882
- NPI assigned
- Jul 9, 2012
- Organization subpart
- No
Authorized official
- Name
- Richard Douberly, CRNA
- Title
- Member Manager
- Phone
- (888) 728-0882
Member of 1
Practitioners 93
-
Mac Bradley Davis, CRNA
-
Kevin Michael Duff, CRNA
-
Kirby Kitchens, CRNA
-
Paula Moore McMicken, CRNA
-
Daniel Eldridge McAlvin, CRNA
-
Arthur F Stone Jr., ARNP, CRNA
-
Korie L Agudelo, CRNA
-
William Enrique Agudelo, CRNA
-
Kimberly Jill Baier, CRNA
-
Zachery A Barr, CRNA
-
Kellie Michelle Blogg, CRNA
-
Richard Bloodworth, CRNA
-
Anna Bowen, CRNA
-
Cole Burgess, CRNA
-
Derek Burns, CRNA
-
Randall J Cannady, CRNA
-
Jeffrey Elliott Cryder, CRNA
-
Charles Darren Daniel, CRNA
-
Justin Michael Davidson, CRNA
-
Daniel L Dell, CRNA
-
Maxwell Donnan, DNP
-
Deborah Marie Drake, CRNA
-
Joni Heather Duff, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120816000621 | GA | Part B Supplier - Clinic/Group Practice | 0941456446 |
Receives reassigned benefits from 92 practitioners Practice locations: Waycross, GA; Tucker, GA; Tifton, GA; Stockbridge, GA; Savannah, GA; Norcross, GA; Macon, GA; Gainesville, GA… |
National Provider Directory
Locations
795 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 629-1852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
577 Mulberry St Ste 110
Macon, GA 31201-8220
Mailing address
PO Box 850001
Dept 795
Orlando, FL 32885-0795
Other practice location 1
4080 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3901
Phone (888) 728-0882 ext. 1
Other providers in Macon, GA
- Laney Jane Swann
- Rachel Earnhardt Swanson
- Monica A. Swayne
- Shamecca Lavista Swayne
- Lindsey Swearngin
- Sweet Dreams Nurse Anesthesia of Georgia LLC
- Swift Emergency Physicians LLC
- Patti Anne Swint
- Katherine Denise Sylvester
- Synsormed, Inc
All providers in Macon, 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 Aug 19, 2020. 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.