JDD Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

JDD ANESTHESIA, LLC

Practice address

730 S 8TH St
Griffin, GA 30224-4827

Phone

(770) 228-6644

NPI assigned

May 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kellie Marie Worth, CPC

Title

Assistant Director of Patient Accou

Phone

77025125060

Specialties & licenses 1

Addresses

Locations

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.

• Paul L Duso, CRNA

  • Certified Registered Nurse Anesthetist
  • Newnan, GA
  • NPI 1083667042

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710932256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 HWY 154 BLDG B",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "30265",
            "telephone_number": "770-251-2060",
            "fax_number": "678-854-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244827",
            "telephone_number": "770-228-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDD ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORTH",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR OF PATIENT ACCOU",
        "authorized_official_telephone_number": "77025125060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris City Chiropractic Center
• Valerie Cannon Jackson
• James E Clark
• Jonet James, PHYSICAL THERAPIST
• Heather Suzanne Jarrell, RD, LD
• Jacqueline Lee Jester, NP-C
• Ashley Ficklen Johnson, PA-C
• Coniya Johnson
• Haley Johnson, CSFA
• Jenna Johnson

• Certified Registered Nurse Anesthetist in Griffin, GA
• Providers in Griffin, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.