Ross Fuller (NPI# 1538582077, PAC ID# 6002133758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1538582077 |
| PAC ID by PECOS | 6002133758 |
| Professional Enrollment ID | I20150318000959 |
| Full Name | Ross Fuller |
| Organization Legal Name | ANESTHESIA CONSULTANTS OF ATHENS |
| Address |
651 S Milledge Ave Athens GA 30605-1250 |
| Phone Number | 7065433449 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2567459902 |
| Number of Group Practice Members | 59 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110006 | ST MARY'S HOSPITAL |
| 111329 | ST. MARY'S GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1230 Baxter St, Athens, GA 30606-3712 | 7065433449 | ANESTHESIA CONSULTANTS OF ATHENS |
| 651 S Milledge Ave, Athens, GA 30605-1250 | 7065433449 | ANESTHESIA CONSULTANTS OF ATHENS |
| 5401 Lake Oconee Pkwy, Greensboro, GA 30642-4232 | 7064537331 | GOOD SAMARITAN HOSPITAL, INC. |
| Organization Legal Name | ANESTHESIA CONSULTANTS OF ATHENS |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison B Peake | Anesthesiology Assistant | Anesthesia Consultants of Athens | 1230 Baxter St, Athens, GA 30606-3712 |
| Amy Morales | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Athens | 1500 Oglethorpe Ave, Suite 2100, Athens, GA 30606-2188 |
| Kassandra Gadlin | Anesthesiology | Anesthesia Consultants of Athens | 1500 Oglethorpe Ave, Suite 2100, Athens, GA 30606-2188 |
| Julia Lamb | Anesthesiology Assistant | Anesthesia Consultants of Athens | 1230 Baxter St, Athens, GA 30606-3712 |
| Joan Schroeder Wortman | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Athens | 1230 Baxter St, Athens, GA 30606-3712 |
| Raul A Mendiola | Anesthesiology | Anesthesia Consultants of Athens | 1500 Oglethorpe Ave, Suite 2100, Athens, GA 30606-2188 |
| Katherine Lythgoe | Anesthesiology Assistant | Anesthesia Consultants of Athens | 1230 Baxter St, Athens, GA 30606-3712 |
| Albert Santora | Anesthesiology | Anesthesia Consultants of Athens | 1500 Oglethorpe Ave, Suite 2100, Athens, GA 30606-2188 |
| Sarah Yelton | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Athens | 1500 Oglethorpe Ave, Suite 2100, Athens, GA 30606-2188 |
| Kevin N Roark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants of Athens | 1230 Baxter St, Athens, GA 30606-3712 |
| Street Address |
651 S MILLEDGE AVE |
| City | ATHENS |
| State | GA |
| Zip | 30605-1250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren I Hacker | Optometry | Jing Dong Md PC | 651 S Milledge Ave, Athens, GA 30605-1250 |
| Warren B Horn | Anesthesiology | Anesthesia Consultants of Athens | 651 S Milledge Ave, Athens, GA 30605-1250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Smart | Nurse Practitioner | Personal Recovery Network LLC | 745 S Millage Ave, Athens, GA 30605 |
| Stephen A Fleming | Psychiatry | Personal Recovery Network LLC | 745 S Millage Ave, Athens, GA 30605 |
| Deborah Curl | Nurse Practitioner | Personal Recovery Network LLC | 745 S Millage Ave, Athens, GA 30605 |
| Maureen A Mcgarty | Psychologist, Clinical | 337 S Milledge Ave, Suite 100, Athens, GA 30605-1083 | |
| Gay Gragson | Clinical Social Worker | 598 S Milledge Ave, Suite 5, Athens, GA 30605-1262 | |
| Linda K Clofine | Clinical Social Worker | 598 S Milledge Ave, Suite 5, Athens, GA 30605-1262 | |
| Frederick J Breme | Clinical Psychologist | 598 S Milledge Ave, Suite 5, Athens, GA 30605-1262 | |
| Michael I Huppert | Chiropractic | 920 S Milledge Ave, Athens, GA 30605-1334 | |
| Andrea W Harron | Optometry | Harron Eyecare | 4375 Lexington Rd, Athens, GA 30605-2525 |
| Sean P Harron | Optometry | Harron Eyecare | 4375 Lexington Rd, Athens, GA 30605-2525 |
| Find all physicians in zip 30605 | |||
| City | ATHENS |
| Zip Code | 30605 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ATHENS + 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.