Grand Anesthesia LLC
NPI 1689230724ActiveOrganization· Nurse Anesthetist, Certified Registered· Macon, GA
Nurse Anesthetist, Certified Registered in Macon, Georgia, registered in NPPES in May 2019. The authorized official on file is Kirby Kitchen, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689230724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2019 |
| Last updated in NPPES | Sep 28, 2023 |
| Certified by provider | Sep 28, 2023 |
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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