NPIMap

Organization Active NPI

Redmond Anesthesia and Pain Treatment, PC

  • Anesthesiology Physician
  • Rome, GA
National Provider Identifier
1821350984
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
REDMOND ANESTHESIA AND PAIN TREATMENT, PC
Practice address
501 Redmond Rd NW
Rome, GA 30165-1415
Phone
(706) 802-3727
NPI assigned
Jun 13, 2012
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Stacey Wilson
Title
Director
Phone
(865) 985-7114

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

501 Redmond Rd NW
Rome, GA 30165-1415

Mailing address

265 Brookview Centre Way Ste 203
Knoxville, TN 37919-4053

Other practice location 1

1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Phone (706) 602-7800

Other practice location 2

16 John Maddox Dr NW
Rome, GA 30165-1414
Phone (706) 802-3727

Other practice location 3

200 Industrial Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000

Other practice location 4

111 Fairview Park Dr
Dublin, GA 31021-2501
Phone (478) 275-2000

Other practice location 5

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 695-4564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000499 GA Part B Supplier - Clinic/Group Practice 4880841741 Receives reassigned benefits from 107 practitioners
Practice locations: Calhoun, GA; Chatsworth, GA; Rome, GA

National Provider Directory

National Provider Directory

Locations

111 Fairview Park Dr
Dublin, GA 31021
Phone (478) 272-1366

16 John Maddox Dr NW
Ste 400
Rome, GA 30165

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1821350984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 203",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651415",
            "telephone_number": "706-802-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Red Bud Rd NE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307016010",
            "country_code": "US",
            "telephone_number": "706-602-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 John Maddox Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651414",
            "country_code": "US",
            "telephone_number": "706-802-3727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212981",
            "country_code": "US",
            "telephone_number": "478-275-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Fairview Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212501",
            "country_code": "US",
            "telephone_number": "478-275-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Old Dalton Ellijay Rd",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "GA",
            "postal_code": "307052029",
            "country_code": "US",
            "telephone_number": "706-695-4564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDMOND ANESTHESIA AND PAIN TREATMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "865-985-7114"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.