RADIANCE ANESTHESIA
NPI 1194381236
Nurse Anesthetist, Certified Registered in Macon, GA

Q: What is Radiance Anesthesia's NPI number?

The NPI number for Radiance Anesthesia is 1194381236. It was assigned to this organization in the NPPES registry on May 14, 2019.

Q: What is Radiance Anesthesia's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since May 14, 2019

577 MULBERRY ST STE 110, MACON, GA 31201(240) 469-2179 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2021, May 25, 2020, May 6, 2020 and 4 more (7 updates tracked since 2019).

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About Radiance Anesthesia NPPES

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

RADIANCE ANESTHESIA (NPI 1194381236) is a healthcare organization registered as a nurse anesthetist, certified registered in Macon, Georgia and active in the NPI registry since May 2019. The organization lists Richard E Douberly, Director, as its authorized official.

NPPES Registry Identity

NPI1194381236

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameRADIANCE ANESTHESIA

Location Address577 MULBERRY ST STE 110Macon, GA 31201-8220

Mailing AddressPo Box 850001 Dept 740jOrlando, FL 32885-0740 · (240) 469-2179

Phone(240) 469-2179

Organization SubpartNo

Authorized OfficialRichard E DouberlyDirector · (941) 360-1566

Enumeration DateMay 14, 2019

Last NPPES UpdateDecember 2, 20217 updates tracked since enumeration

NPPES CertifiedDecember 2, 2021

✔ NPI 1194381236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

577 MULBERRY ST STE 110, Macon, GA 31201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radiance Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 62 clinicians reassign Medicare billing to Radiance Anesthesia, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)59

Anesthesiology3