BRANDON S REDDOCK (NPI# 1376816363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376816363 |
| Entity Type | Individual |
| Full Name | BRANDON S REDDOCK |
| Credential | CRNA |
| Practice Address |
541 Historic Hwy 441 N Demorest GA 30535 |
| Mailing Address |
Po Box 369 Turnerville GA 30580-0369 |
| Practice Telephone | 7068396205 |
| Practice Fax Number | 7067549668 |
| Mailing Telephone | 7068396205 |
| Mailing Fax Number | 7067549668 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN192417 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
541 HISTORIC HWY 441 N |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795864 | Lance M Johnson | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2006-07-20 |
| 1639604986 | The Hospital Authority of Habersham County | Family Medicine | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2017-04-25 |
| 1548644586 | The Hospital Authority of Habersham County | Pharmacy | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-07-18 |
| 1396136107 | Brandon Taylor | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-02-16 |
| 1063801470 | William E Garry | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-22 |
| 1528457702 | Joshua Scott Newby | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-12 |
| 1922411081 | Jeffrey Scott Brady | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2014-06-06 |
| 1205270709 | Jonathan C Griggs | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2013-04-26 |
| 1326388430 | Kelly Elizabeth Taylor | Registered Nurse | 541 Historic Hwy 441 N, Demorest, GA 30535-0037 | 2013-02-26 |
| 1134493596 | Thomas A Opilka | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795864 | Lance M Johnson | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2006-07-20 |
| 1396765475 | Edwin S Fuller | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 North, Demorest, GA 30535 | 2006-07-20 |
| 1962985168 | Total Care Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | 541 Historic Hwy #441-n, Demorest, GA 30535 | 2018-09-13 |
| 1811437130 | Total Care Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-03-06 |
| 1801333455 | The Hospital Authority of Habersham County | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-20 |
| 1346786225 | Jeremy Webb | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-16 |
| 1396136107 | Brandon Taylor | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-02-16 |
| 1063801470 | William E Garry | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-22 |
| 1235528415 | Daniel Bryce Skipper | Nurse Anesthetist, Certified Registered | 541 Historic Hwy #441-n, Demorest, GA 30535 | 2015-01-12 |
| 1528457702 | Joshua Scott Newby | Nurse Anesthetist, Certified Registered | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-01-12 |
| Find all providers in DEMOREST | ||||
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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.