Timothy David Fitzgerald

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9326204 Issued in FL

Practice address

902 N 7TH St
Cordele, GA 31015-3234

Phone

(229) 276-3100

NPI assigned

Aug 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robins Anesthesia Services LLC 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Networks

• Freedom Health HMO Network

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.

• Robins Anesthesia Services, LLC

  • Anesthesiology Physician
  • Warner Robins, GA
  • NPI 1154392660

  GA

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Houston Hospitals Inc

  • General Acute Care Hospital
  • Perry, GA
  • NPI 1891808499

  Hospital

  Care Compare affiliation
• Houston Hospitals Inc

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1972058071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 CREEKSIDE BLVD STE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N 7TH ST",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153234",
            "telephone_number": "229-276-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 Creekside Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341081931",
            "country_code": "US",
            "telephone_number": "239-261-1158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN193624",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9326204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Lynn Fajardo, AGCANP-BC
• Tiffany Merritt Fallin, NP
• Lauren Goforth Faulk, APRN, FNP-C
• Mary Gail Ferra, NPC
• Kenya Lavette Fields
• Brad N Ford, DMD
• Bradshaw Neil Ford, DMD
• Hailey Leeann Fortescue
• Lewis D. Friedlander, MD
• Ga Cell and Tissue Diagnostic Center Inc.

• All providers in Cordele, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.

Verify at the official NPI Registry.