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MR. RYAN C. WALLENTINE PA-AA
NPI 1114209525
Anesthesiologist Assistant in Macon, GA

Active since September 12, 2011Accepts Medicare Assignment
380 HOSPITAL DR, SUITE 410, MACON, GA 31217(478) 746-5644(478) 745-4849 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Ryan C. Wallentine Pa-aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN C. WALLENTINE PA-AA (NPI 1114209525) is an individual anesthesiologist assistant in Macon, Georgia, licensed in Georgia (006279) and active in the NPI registry since September 2011. He is affiliated with Coliseum Medical Centers, Llc, Dba and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2011).

NPPES Registry Identity

NPI1114209525
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. RYAN C. WALLENTINECredential: PA-AA
Location Address380 HOSPITAL DR, SUITE 410Macon, GA 31217
Mailing AddressPo Box 2564Macon, GA 31203-2564 · (478) 746-5644 · Fax (478) 745-4849
Phone(478) 746-5644
Fax(478) 745-4849
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2011
Enumeration DateSeptember 12, 2011
Last NPPES UpdateJune 4, 2013
✔ NPI 1114209525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 006279
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

380 HOSPITAL DR, Macon, GA 31217
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Other Identifiers 8

Medicaid003114063AGA
Other580628385GA · Tricare
Other635417GA · Wellcare
Medicaid003114063BGA
Medicaid003114063DGA
OtherP01003812GA · Railroad Medicare
Medicare PIN202I328607GA
Medicaid003114063CGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ryan C. Wallentine Pa-aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840463626
PECOS Enrollment IDI20111024000771

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGINIA GARRISON CROUSE CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
ANDRES BRITO
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
DR. NICHOLAS MONACO M.D.
Internal Medicine
380 HOSPITAL DR, SUITE 430
MACON, GA 31217
Bibb County (478) 751-0366
MR. KEATH L. MORGAN CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
KELLI SMITH CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
MONICA STEVENS-KIRBY LMFT
Marriage & Family Therapist
380 HOSPITAL DR, BLDG A STE 125
MACON, GA 31217
Bibb County (478) 745-8224
MR. CHRISTOPHER M SPIVEY CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
ROBERT J. PAREL II MD LLC
Surgery
380 HOSPITAL DR, BLDG A SUITE 370
MACON, GA 31217
Bibb County (478) 745-0711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Wallentine's NPI number?

The NPI number for Ryan Wallentine is 1114209525. It was assigned to this individual provider in the NPPES registry on September 12, 2011.

Where is Ryan Wallentine located?

Ryan Wallentine practices at 380 Hospital Dr Suite 410, Macon, GA 31217. The listed phone number is (478) 746-5644.

What is Ryan Wallentine's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Ryan Wallentine enrolled in Medicare?

Yes. Ryan Wallentine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ryan Wallentine affiliated with any hospitals?

According to CMS data, Ryan Wallentine is affiliated with Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Ryan Wallentine was last updated on June 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.