Maga Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MAGA ANESTHESIA, LLC

Practice address

101 Preston CT
Macon, GA 31210-5772

Phone

(800) 208-6014

Fax

(706) 850-7733

NPI assigned

Oct 2, 2019

Organization subpart

No

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

Authorized official

Name

Jeffrey K Nickell

Title

Cfo

Phone

(404) 334-0961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1801437751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770013",
            "telephone_number": "800-208-6017",
            "fax_number": "706-850-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRESTON CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105772",
            "telephone_number": "800-208-6014",
            "fax_number": "706-850-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGA ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-334-0961"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katherine Neel Maddox, MD
• Spencer F Maddox III, M.D.
• Rohit Madhav, DO
• Mercedes Madrid-Lowery, LCSW
• Ellen Louise Maffeo, PA-C
• Allie Magallano, CNM
• Magna Care Medical Specialists LLC
• Magna Intensive Care LLC
• Magnificent Homecare LLC
• Magnolia Hospice of Macon, LLC (OpusCare of Georgia)

• Certified Registered Nurse Anesthetist in Macon, GA
• Providers in Macon, 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 Oct 2, 2019; 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.