Active NPI
Nicholas L Misulia, M.D.
- Anesthesiology Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 69070
- Practice address
- 417 Third Avenue
Albany, GA 31701 - Phone
- (877) 312-1167
- NPI assigned
- Aug 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 69070 | GA | Primary |
Addresses
Primary practice location
417 Third Avenue
Albany, GA 31701
Mailing address
417 Third Avenue
Albany, GA 31701
Phone (877) 312-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130507000491 | GA | Practitioner - Anesthesiology | 3476790676 | Reassigns benefits to 4 organizations |
| I20190131001764 | MS | Practitioner - Anesthesiology | 3476790676 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69070 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McReynolds Anesthesia, PA | Current | Accepting new patients | |
| Ams Southeast LLC | Anesthesiology | Current | Accepting new patients |
| Mak Anesthesia Holdings LLC | Anesthesiology | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Fortis Health, LLC | Anesthesiology | Current | Accepting new patients |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
907 18th St E
Ste 400
Tifton, GA 31794
2520 5th St N
Columbus, MS 39705
Phone (662) 224-1000
640 Leigh Dr
Columbus, MS 39705
Phone (662) 328-7123
Organizations & group practices 19
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.
-
- Rural Health Clinic/Center
- Ashburn, GA
- NPI 1063042562
-
- Skilled Nursing Facility
- Adel, GA
- NPI 1134215452
-
- Rural Health Clinic/Center
- Sylvester, GA
- NPI 1487284956
-
- Rural Health Clinic/Center
- Nashville, GA
- NPI 1588294045
-
- Rural Health Clinic/Center
- Tifton, GA
- NPI 1649800111
-
- Pharmacy
- Tifton, GA
- NPI 1962085282
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Tennessee, HSC, College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tift Regional Health System Inc
Practice addresses (Care Compare)
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
260 MJ Taylor Rd
Adel, GA 31620-3485
Phone (229) 896-8159
Hospital & facility affiliations
- Southwell Medical, a Campus of TRMC
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.02 of 100
- Quality
- 57.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1760615413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 THIRD AVENUE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31701",
"telephone_number": "877-312-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 THIRD AVENUE",
"city": "ALBANY",
"state": "GA",
"postal_code": "31701",
"telephone_number": "877-312-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISULIA",
"first_name": "NICHOLAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "69070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.