Anesthesia Services of North Georgia LLC
NPI 1386216604ActiveOrganization· Nurse Anesthetist, Certified Registered· Gainesville, GA
Nurse Anesthetist, Certified Registered in Gainesville, Georgia, registered in NPPES in July 2021. The authorized official on file is Justin Davidson, CRNA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386216604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2021 |
| Last updated in NPPES | Jul 15, 2021 |
| Certified by provider | Jul 15, 2021 |
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) |
|---|
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