Phoenix Anesthesia, LLC
NPI 1346645140ActiveOrganization· Nurse Anesthetist, Certified Registered· Decatur, GA
Nurse Anesthetist, Certified Registered in Decatur, Georgia, registered in NPPES in October 2014. The authorized official on file is Jannine Deraney, Administrator.
Overview
| NPI | 1346645140 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 23, 2014 |
| Last updated in NPPES | Oct 23, 2014 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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