Active NPI
Southeast Anesthesia Professionals LLC
- Certified Registered Nurse Anesthetist
- Warner Robins, GA
National Provider Identifier
1790037422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- SOUTHEAST ANESTHESIA PROFESSIONALS LLC
- Practice address
- 4501 Russell Pkwy Ste 17
Warner Robins, GA 31088-8680 - Phone
- (478) 333-1236
- Fax
- (478) 352-0095
- NPI assigned
- Oct 4, 2012
- 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
- Rhonda Ballinger
- Title
- Administrator
- Phone
- (478) 929-0036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | GA | Primary |
Addresses
Primary practice location
4501 Russell Pkwy Ste 17
Warner Robins, GA 31088-8680
Mailing address
PO Box 6377
Warner Robins, GA 31095-6377
Other practice location 1
6911 Tara Blvd
Jonesboro, GA 30236-1503
Phone (478) 333-1236
Other practice location 2
3231 Highway 34 E Ste B
Newnan, GA 30265-6407
Phone (478) 333-1236
Other practice location 3
1300 Upper Hembree Rd Ste B
Roswell, GA 30076-0927
Phone (478) 333-1236
Other practice location 4
730 S 8th St
Griffin, GA 30224-4827
Phone (478) 333-1236
National Provider Directory
National Provider DirectoryLocations
3231 Highway 34 E
Ste B
Newnan, GA 30265
Phone (678) 971-4227
807 Carroll St
Ste C200
Perry, GA 31069
4501 Russell Pkwy
Ste 17
Warner Robins, GA 31088
Phone (478) 333-1236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1790037422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6377",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310956377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 RUSSELL PKWY STE 17",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888680",
"telephone_number": "478-333-1236",
"fax_number": "478-352-0095"
}
],
"practiceLocations": [
{
"address_1": "6911 Tara Blvd",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "GA",
"postal_code": "302361503",
"country_code": "US",
"telephone_number": "478-333-1236",
"fax_number": "478-352-0095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3231 Highway 34 E Ste B",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302656407",
"country_code": "US",
"telephone_number": "478-333-1236",
"fax_number": "478-352-0095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 Upper Hembree Rd Ste B",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300760927",
"country_code": "US",
"telephone_number": "478-333-1236",
"fax_number": "478-352-0095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 S 8th St",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302244827",
"country_code": "US",
"telephone_number": "478-333-1236",
"fax_number": "478-352-0095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHEAST ANESTHESIA PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "BALLINGER",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "478-929-0036"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.