Ryan C. Wallentine, PA-AA
NPI 1114209525ActiveIndividual· Anesthesiologist Assistant· Macon, GA
Anesthesiologist Assistant (PA-AA) in Macon, Georgia, trained at Nova Southeastern Univ College of Dental Medicine (class of 2011). Medicare paid $7,236 for services to 57 patients in 2024.
Overview
| NPI | 1114209525 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-AA |
| Sole proprietor | No |
| NPI issued | Sep 12, 2011 |
| Last updated in NPPES | Jun 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 006279 | GA |
| Anesthesiologist Assistant | 367H00000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 79 across 28 procedure codes |
| Paid by Medicare | $7,236 |
Education and affiliations
| Medical school | Nova Southeastern Univ College of Dental Medicine |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Piedmont Anesthesia LLCFayetteville, GA · 563 clinicians
Hospital affiliation
- Coliseum Medical Centers, LLC, DBAMacon, GA
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All 49 Anesthesiologist Assistant providers in Macon · All Anesthesiologist Assistant providers in Georgia