Active NPI
John James Zitzelberger II, CRNA
- Certified Registered Nurse Anesthetist
- Fort Moore, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN124557
- Practice address
- 6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102 - Phone
- (706) 888-2733
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-117462 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN124557 | GA | Primary |
Addresses
Primary practice location
6600 Van Aalst Blvd BLDG 9250
Fort Moore, GA 31905-2102
Mailing address
6534 Beaver TRL
Midland, GA 31820-4317
Phone (762) 408-3107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000941432B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 882-1411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-117462 | AL | MD | Certified Registered Nurse Anesthetist |
| RN124557 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
2548 Weems Rd
Columbus, GA 31909
Phone (404) 265-4000
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
3150 Highway 34 E
#195
Newnan, GA 30265
3150 Highway 34 E
Ste 195
Newnan, GA 30265
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1851392146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6534 BEAVER TRL",
"city": "MIDLAND",
"state": "GA",
"postal_code": "318204317",
"telephone_number": "762-408-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 VAN AALST BLVD BLDG 9250",
"city": "FORT MOORE",
"state": "GA",
"postal_code": "319052102",
"telephone_number": "706-888-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITZELBERGER",
"first_name": "JOHN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-117462",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN124557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000941432B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Moore, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.