Eclat Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ECLAT ANESTHESIA

Practice address

577 Mulberry St Ste 110
Macon, GA 31201-8220

Phone

(240) 469-2179

NPI assigned

Mar 8, 2019

Last updated

May 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirby Kitchens

Title

Manager

Phone

(229) 886-5347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558742400000",
    "number": "1952869828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 740A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850740",
            "telephone_number": "240-469-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 MULBERRY ST STE 110",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018220",
            "telephone_number": "240-469-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLAT ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-05-25",
        "status": "A",
        "authorized_official_last_name": "KITCHENS",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-886-5347"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley S Ebanks, M.D.
• Bradley Alan Ebel, DO
• Heather Eberlein, FNP-C
• Jordyn Ann Ebert, DMD
• Brooke Eck
• Eclipse Anesthesia LLC (AHP of Macon LLC)
• Walter T Edalgo, CRNA
• Gary Eddy Sr., MD
• Dara Edghill, CRNA
• Hayley Edmonston, PMHNP-BC

• Anesthesiology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.