First Source Anesthesia, LLC
NPI 1558728907ActiveOrganization· Nurse Anesthetist, Certified Registered· Macon, GA
Nurse Anesthetist, Certified Registered in Macon, Georgia, registered in NPPES in January 2016. The authorized official on file is Richard Douberly, CRNA, Member Manager.
Overview
| NPI | 1558728907 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 15, 2016 |
| Last updated in NPPES | Aug 14, 2020 |
| Certified by provider | Aug 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | GA |
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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