NPIMap

Organization Active NPI

Mednax

  • Anesthesiologist Assistant
  • Macon, GA
National Provider Identifier
1801446455
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
MEDNAX
Practice address
770 Pine St Ste L40
Macon, GA 31201-7521
Phone
(478) 633-9670
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Alie Easterwood, CAA
Title
Anesthesiologist Assistant
Phone
(706) 346-9605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 367H00000X Primary

Addresses

Primary practice location

770 Pine St Ste L40
Macon, GA 31201-7521

Mailing address

107 Billy Pyle Rd SW
Rome, GA 30165-3520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1801446455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BILLY PYLE RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301653520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST STE L40",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017521",
            "telephone_number": "478-633-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDNAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "EASTERWOOD",
        "authorized_official_first_name": "ALIE",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST ASSISTANT",
        "authorized_official_telephone_number": "706-346-9605",
        "authorized_official_credential": "CAA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.