Active NPI
Anesthesia Providers of Augusta, Inc
- Registered Nurse
- Sylvania, GA
National Provider Identifier
1740448885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN112820
- Legal business name
- ANESTHESIA PROVIDERS OF AUGUSTA, INC
- Practice address
- 215 Mims Rd
Sylvania, GA 30467-1994 - Phone
- (706) 868-0131
- Fax
- (706) 854-0131
- NPI assigned
- May 27, 2008
- Last updated
- May 27, 2008
- 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
- Shannon M Thomas, C.R.N.A.
- Title
- Soul Owner
- Phone
- (706) 836-4915
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN112820 | GA | Primary |
Addresses
Primary practice location
215 Mims Rd
Sylvania, GA 30467-1994
Mailing address
PO Box 12001
Augusta, GA 30914-2001
Phone (706) 868-0131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | GA |
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.
-
- Certified Registered Nurse Anesthetist
- Sylvania, GA
- NPI 1184696429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1740448885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12001",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309142001",
"telephone_number": "706-868-0131",
"fax_number": "706-854-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MIMS RD",
"city": "SYLVANIA",
"state": "GA",
"postal_code": "304671994",
"telephone_number": "706-868-0131",
"fax_number": "706-854-0131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA PROVIDERS OF AUGUSTA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SOUL OWNER",
"authorized_official_telephone_number": "706-836-4915",
"authorized_official_credential": "C.R.N.A."
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN112820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.