Active NPI
LBNC Anesthesia Services PC
- Certified Registered Nurse Anesthetist
- Lumberton, NC
National Provider Identifier
1912418401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- LBNC ANESTHESIA SERVICES PC
- Practice address
- 101 W 27TH St
Lumberton, NC 28358-3014 - Phone
- (800) 208-6014
- Fax
- (706) 850-7733
- NPI assigned
- Oct 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Nickell
- Title
- Cfo
- Phone
- (404) 334-0961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
101 W 27TH St
Lumberton, NC 28358-3014
Mailing address
1741 Hog Mountain Rd
Watkinsville, GA 30677-1947
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Opelika, AL
- NPI 1174587901
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1912418401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 HOG MOUNTAIN RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306771947",
"fax_number": "706-850-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 27TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283583014",
"telephone_number": "800-208-6014",
"fax_number": "706-850-7733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LBNC ANESTHESIA SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-24",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "NICKELL",
"authorized_official_first_name": "JEFFREY",
"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": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.