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

Q: 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.

Q: What is Ryan Wallentine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Wallentine was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 18, 2026.

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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Ryan Wallentine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Anesthesia LLC

58 mi

Anesthesiology

1133 EAGLES LANDING PKWY
Stockbridge, GA 30281

Reassigned Medicare billing, Georgia enrollment
713 clinicians in this Medicare group

NPI 1700474244 (678) 604-1053

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Ryan Wallentine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wallentine reassigns Medicare benefits to Piedmont Anesthesia LLC (Stockbridge, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Wallentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.