PEACH STATE ANESTHESIA PARTNERS, LLC (NPI# 1134751191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134751191 |
| Entity Type | Organization |
| Organization Name | PEACH STATE ANESTHESIA PARTNERS, LLC |
| Practice Address |
350 Hospital Dr Macon GA 31217-3838 |
| Mailing Address |
Po Box 570 Nashville TN 37202-0570 |
| Practice Telephone | 4787467577 |
| Practice Fax Number | 4787654500 |
| Mailing Telephone | 2148423351 |
| Mailing Fax Number | 7707016718 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | RONALD LEE GRUBS (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4787467577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
350 HOSPITAL DR |
| City | MACON |
| State | GA |
| Zip Code | 31217-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861471138 | Gary K Walker | Pathology | 350 Hospital Dr, Macon, GA 31217-3838 | 2006-01-13 |
| 1861091340 | Shelby Walker | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-10-26 |
| 1558901264 | Crystal Ayer | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2020-01-10 |
| 1306328323 | Antoinette Mariano-sabido | Physician Assistant | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-09-06 |
| 1790293751 | Robert Perry | Nurse Practitioner | 350 Hospital Dr, Macon, GA 31217-3838 | 2018-01-11 |
| 1427571827 | Saleha Asghar | Hospitalist | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-07-18 |
| 1366977647 | Mitali Mehta | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-25 |
| 1720512072 | James Weaver Corley Iv | Student in an Organized Health Care Education/Training Program | 350 Hospital Dr, Macon, GA 31217-3838 | 2017-04-13 |
| 1487001798 | Terrill Anthony Cooper | Registered Nurse | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-05-17 |
| 1659734630 | Douglas Jason Buckert | Emergency Medicine | 350 Hospital Dr, Macon, GA 31217-3838 | 2016-03-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518354075 | Christina Hardaway | Anesthesiology | 380 Hospital Dr Ste 410, Macon, GA 31217-8014 | 2015-04-22 |
| 1053557389 | Katherine Elizabeth Turk | Anesthesiology | 111 Field Springs Ct, Macon, GA 31210-5373 | 2008-12-16 |
| 1457596702 | Jacob Alexander Mills | Anesthesiology | 384 Buford Pl, Macon, GA 31204-2426 | 2008-12-15 |
| 1285602136 | Robert C Wilson | Anesthesiology | 540 Hemlock St., Macon, GA 31201-3202 | 2006-03-08 |
| 1306814231 | John W Hightower | Anesthesiology | 400 Charter Blvd, Macon, GA 31210-4831 | 2006-03-08 |
| 1013996800 | Middle Georgia Anesthesia Services, LLC | Anesthesiology | 505 Billingswood Dr, Macon, GA 31210-1565 | 2006-01-11 |
| 1235110891 | David Wendell Mckinney | Anesthesiology | 380 Hospital Dr., Suite 410, Macon, GA 31217 | 2005-11-10 |
| 1477546166 | Sandeep Datta | Anesthesiology | 101 Preston Ct, Suite 103, Macon, GA 31210-5772 | 2005-08-26 |
| 1043202633 | Keith N Phillippi | Anesthesiology | 380 Hospital Drive, Suite 410, Macon, GA 31217 | 2005-08-18 |
| 1952869828 | Eclat Anesthesia | Anesthesiology | 577 Mulberry St Ste 110, Macon, GA 31201-8220 | 2019-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.