MEDNAX (NPI# 1801446455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801446455 |
| Entity Type | Organization |
| Organization Name | MEDNAX |
| Practice Address |
770 Pine St Ste L40 Macon GA 31201-7521 |
| Mailing Address |
107 Billy Pyle Rd Sw Rome GA 30165-3520 |
| Practice Telephone | 4786339670 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | ALIE EASTERWOOD (ANESTHESIOLOGIST ASSISTANT) |
| Authorized Official Telephone | 7063469605 |
| Authorized Official Credential | CAA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mednax Services Inc. | 1301 Concord Ter, Sunrise, Florida 33323-2843 |
| Colorado Business Entities | Mednax Services, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Washington State Corporations | MEDNAX SERVICES, INC. | 1301 Concord Terrace, Sunrise, FL 33323 |
| System for Award Management (SAM) Entities | MEDNAX, INC. | 1301 Concord Terrace, Sunrise, FL 33323-2843 |
| Street Address |
770 PINE ST STE L40 |
| City | MACON |
| State | GA |
| Zip Code | 31201-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205486362 | Alie Mulkey | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666340 | Yasameen Emad Muzahim | Internal Medicine | 777 Hemlock Street, Msc 165, Macon, GA 31201 | 2018-04-18 |
| 1952819419 | Putnam Dialysis LLC | Clinic/Center | 657 Hemlock Street, Suite 200, Macon, GA 31201 | 2018-01-18 |
| 1730604331 | Graham Arthur Mercier | Surgery | 169 Ashley Ave., Room 202 Main Hospital Msc 333, Charleston, SC 31201 | 2017-08-04 |
| 1376075705 | Diamond Jude | Internal Medicine | 777 Hemlock Street Msc #104, Macon, GA 31201 | 2017-04-03 |
| 1174055263 | Carol Roobin Bashuk | Hearing Instrument Specialist | 634 First Street, Macon, GA 31201 | 2017-03-29 |
| 1144752411 | Hubert Pare | Student in an Organized Health Care Education/Training Program | 777 Hemlock Street, Msc# 165, Macon, GA 31201 | 2017-03-28 |
| 1548613789 | Michael Daugherty | Counselor | 1873 Hardeman Ave, Suite 1, Macon, GA 31201 | 2016-07-22 |
| 1316317993 | 4front Healthcare of Middle Georgia, LLC | Hospice Care, Community Based | 682 1st St, Macon, GA 31201 | 2015-09-25 |
| 1881073054 | Andrew Lee Drahos | Surgery | 777 Hemlock St # 140, Macon, GA 31201 | 2015-05-21 |
| 1720474158 | April Nicole Colley | Nurse Practitioner | 1014 Forsyth Street, Macon, GA 31201 | 2015-04-13 |
| Find all providers in zip 31201 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689895591 | David Luce | Anesthesiologist Assistant | 777 Hemlock Street, Macon, GA 31201 | 2007-05-01 |
| 1306814249 | Catherine D Davis | Anesthesiologist Assistant | 624 Bellgrove Pt, Macon, GA 31220-7621 | 2006-03-08 |
| 1669081113 | Sabrina L. Singleton | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2020-07-29 |
| 1952932881 | Shelby Laray Kelley | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2020-01-29 |
| 1407494636 | Tyler Brice Akins | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2019-12-18 |
| 1205486362 | Alie Mulkey | Anesthesiologist Assistant | 770 Pine St Ste L40, Macon, GA 31201-7521 | 2019-09-19 |
| 1548778392 | Samantha Ryce Dillon | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2018-01-15 |
| 1306356860 | Jesse Michael | Anesthesiologist Assistant | 380 Hospital Dr Ste 410, Macon, GA 31217-8014 | 2017-10-10 |
| 1487106548 | Caitlin Emily George | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2016-10-25 |
| 1568913903 | Charles Bennett Winter | Anesthesiologist Assistant | 777 Hemlock St, Macon, GA 31201-2102 | 2016-10-20 |
| Find all providers in MACON | ||||
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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.