Gerald A Davidson (NPI# 1710965280, PAC ID# 3072590363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1710965280 |
| PAC ID by PECOS | 3072590363 |
| Professional Enrollment ID | I20040706000239 |
| Full Name | Gerald A Davidson |
| Organization Legal Name | GEORGETOWN ANESTHESIA CONSULTANTS, PC |
| Address |
606 Black River Rd Georgetown SC 29440-3368 |
| Phone Number | 8435277100 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1981 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7810031242 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 606 Black River Rd, Georgetown, SC 29440-3368 | 8435277100 | GEORGETOWN ANESTHESIA CONSULTANTS, PC |
| Organization Legal Name | GEORGETOWN ANESTHESIA CONSULTANTS, PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Miller | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Pam Amanda Stone | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Dwayne Foster Mcvicker | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Loy N Patterson | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Melissa A Burrow | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Michael J Ford | Anesthesiology | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| James William Greyard | Anesthesiology | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| David G Thomas Iii | Anesthesiology | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Daniel R Carhart | Anesthesiology | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Jason A Caywood | Anesthesiology | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Street Address |
606 BLACK RIVER RD |
| City | GEORGETOWN |
| State | SC |
| Zip | 29440-3368 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Haden | Diagnostic Radiology | Georgetown Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Charles O Duncan | Internal Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Christopher H Register | Emergency Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Adam C Hughes | Internal Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Joseph Ratliffe | Emergency Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Kristen M Miller | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| John B Latimer | Emergency Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Pam Amanda Stone | Certified Registered Nurse Anesthetist (crna) | Georgetown Anesthesia Consultants, PC | 606 Black River Rd, Georgetown, SC 29440-3368 |
| Robert Whitehead Iii | Diagnostic Radiology | Georgetown Radiology | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Shannon M Marcotte | Emergency Medicine | Georgetown Memorial Hospital | 606 Black River Rd, Georgetown, SC 29440-3304 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Blakeley | Nurse Practitioner | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Patricia R Grant | Interventional Pain Management | Patricia R. Grant, Md Pa | 219 Church St, Georgetown, SC 29440-2403 |
| Barbara Lynn Horn-weisgerber | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Owen Cannon Johnson | Optometry | Indigo Vision Center Pa | 302 Church St, Georgetown, SC 29440-2406 |
| Kaleigh Elizabeth Hudak | Physician Assistant | Georgetown Physician Associates LLC | 469 Marina Dr, Georgetown, SC 29440-2410 |
| Terry L Fry | Otolaryngology | 401 Marina Dr, Georgetown, SC 29440-2410 | |
| Alfred J Daniels | Family Medicine | St. James-santee Family Health Center Inc. | 2020 Highmarket St, Georgetown, SC 29440-2618 |
| Robert Jason Heineck | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Ashley Marie Miller | Nurse Practitioner | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Xaviera M Carter | Obstetrics/gynecology | Georgetown Physician Associates LLC | 1306 N Fraser St, Georgetown, SC 29440-2800 |
| Find all physicians in zip 29440 | |||
| City | GEORGETOWN |
| Zip Code | 29440 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | GEORGETOWN + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.