Organization Active NPI

Southeast Anesthesia Professionals LLC

  • Certified Registered Nurse Anesthetist
  • Warner Robins, GA
National Provider Identifier
1790037422
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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

Updated by the provider on Jul 24, 2020

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.