Active NPI
Envision Healthcare
- Anesthesiology Physician
- Douglas, GA
National Provider Identifier
1679319081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ENVISION HEALTHCARE
- Practice address
- 75 Drake Dr
Douglas, GA 31535-7279 - Phone
- (912) 850-1328
- NPI assigned
- Jul 4, 2024
- Last updated
- Jul 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Noah Johnston
- Title
- Caa
- Phone
- (912) 850-1328
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
75 Drake Dr
Douglas, GA 31535-7279
Mailing address
20 Burton Hills Blvd Ste 500
Nashville, TN 37215-6176
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720051200000",
"number": "1679319081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BURTON HILLS BLVD STE 500",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372156176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 DRAKE DR",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315357279",
"telephone_number": "912-850-1328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVISION HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "NOAH",
"authorized_official_title_or_position": "CAA",
"authorized_official_telephone_number": "912-850-1328",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.