Primary Anesthesia LLC
NPI 1427640317ActiveOrganization· Nurse Anesthetist, Certified Registered· Fayetteville, GA
Nurse Anesthetist, Certified Registered in Fayetteville, Georgia, registered in NPPES in February 2021. The authorized official on file is Wayne Paul-Bazil, MSN, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1427640317 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2021 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 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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