Individual provider Active NPI

Ryan Mitchell Goelz, PAA

  • Anesthesiologist Assistant
  • Savannah, GA
National Provider Identifier
1669983854
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
4700 Waters Ave
Savannah, GA 31404-6220
Phone
(770) 643-5619
NPI assigned
Oct 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary
Anesthesiologist Assistant 367H00000X ANT.0000214 CO

Addresses

Primary practice location

4700 Waters Ave
Savannah, GA 31404-6220

Mailing address

206 Verbena PT
Peachtree City, GA 30269-3246

Other practice location 1

12605 E 16th Ave
Aurora, CO 80045-6220
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171213002908 GA Practitioner - Anesthesiology Assistant 7416215785 Reassigns benefits to 5 organizations
I20210622003163 OH Practitioner - Anesthesiology Assistant 7416215785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Anesthesia and Pain Treatment, PCGroup PAC ID 4880841741, 77 clinicians

Practice addresses (Care Compare)

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
008586GAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc CurrentSince Jun 15, 2021 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC CurrentSince Aug 16, 2021 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Nov 2, 2017 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Feb 20, 2019 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Sep 20, 2019 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Jul 29, 2021 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1669983854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 VERBENA PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "770-643-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800456220",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOELZ",
        "first_name": "RYAN",
        "middle_name": "MITCHELL",
        "credential": "PAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CO",
            "license": "ANT.0000214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.