Individual provider Active NPI

Nicholas L Misulia, M.D.

  • Anesthesiology Physician
  • Albany, GA
National Provider Identifier
1760615413
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
69070 Issued in GA
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

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
69070GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McReynolds Anesthesia, PA CurrentSince Mar 20, 2019 Accepting new patients
Ams Southeast LLC Anesthesiology CurrentSince Jun 9, 2022 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Fortis Health, LLC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Tift Regional Health System Inc CurrentSince Jul 11, 2023 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.

View all 19

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 294 clinicians

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 Hospital, Adel, GA, CCN 110101

Merit-based Incentive Payment System (MIPS)

Final score
81.02 of 100Reported as group
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

Verify at the official NPI Registry.