Synergy Anesthesiology Inc
NPI 1003040502ActiveOrganization· Nurse Anesthetist, Certified Registered· Alpharetta, GA
Nurse Anesthetist, Certified Registered in Alpharetta, Georgia, registered in NPPES in May 2009. The authorized official on file is Richard Douberly, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1003040502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2009 |
| Last updated in NPPES | Jun 6, 2022 |
| Certified by provider | Jun 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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