Michelle S Womble Custer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN149265 Issued in GA

Practice address

65 Waddell Rd
Woodbury, GA 30293-4008

Phone

(706) 573-6769

Fax

(706) 553-3525

NPI assigned

Nov 21, 2006

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle S Womble Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guardian Medical Services LLCGroup PAC ID 8325347735, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Guardian Medical Services, LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1255786521

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Columbus Anesthesia Partners LLC

  • Anesthesiology Physician
  • Columbus, GA
  • NPI 1366742538

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464
  Medicare reassignment NPD
• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• Sweet Dreams Anesthesiology Nurses of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Macon, GA
  • NPI 1669737409

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Wilson Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1104178482

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Robins Anesthesia Services, LLC

  • Anesthesiology Physician
  • Warner Robins, GA
  • NPI 1154392660
  Medicare reassignment
• Sweet Dreams Nurse Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1649463365
  Medicare reassignment
• Synergy Anesthesiology Inc

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
  • NPI 1003040502
  Medicare reassignment
• Michael Terrani, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Garden City, NY
  • NPI 1831371384
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upson County Hospital Inc

  dba Upson Regional Medical Center

  • General Acute Care Hospital
  • Thomaston, GA
  • NPI 1659376630
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1790850592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NEWNAN STATION DR",
            "address_2": "STE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653194",
            "telephone_number": "770-814-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WADDELL RD",
            "city": "WOODBURY",
            "state": "GA",
            "postal_code": "302934008",
            "telephone_number": "706-573-6769",
            "fax_number": "706-553-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE CUSTER",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN149265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WOMBLE",
            "middle_name": "S",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Denise Ross
• Southwest Medical Clinic, Inc
• U Save It Pharmacy Inc (U Save It Pharmacy #16 LTC)
• U Save It Pharmacy Inc (U Save It Pharmacy #16)
• Hillary Vickery

• Certified Registered Nurse Anesthetist in Woodbury, GA
• Providers in Woodbury, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.