Northeast Georgia Anesthesiology LLC
NPI 1164748935ActiveOrganization· Nurse Anesthetist, Certified Registered· Athens, GA
Nurse Anesthetist, Certified Registered in Athens, Georgia, registered in NPPES in April 2010. The authorized official on file is Jeff L. Perry, Vp Of Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164748935 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2010 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
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) |
|---|
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