SOUTHEAST GEORGIA ANESTHESIA LLC
NPI 1265518849
Anesthesiology in Waycross, GA
About Southeast Georgia Anesthesia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST GEORGIA ANESTHESIA LLC (NPI 1265518849) is a healthcare organization registered as an anesthesiology in Waycross, Georgia and active in the NPI registry since October 2006. The organization lists Keith R Johnson, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Georgia Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Southeast Georgia Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Southeast Georgia Anesthesia LLC's NPI number?
The NPI number for Southeast Georgia Anesthesia LLC is 1265518849. It was assigned to this organization in the NPPES registry on October 27, 2006.
Where is Southeast Georgia Anesthesia LLC located?
Southeast Georgia Anesthesia LLC is located at 410 Darling Ave Anesthesia Dept, Waycross, GA 31501. The listed phone number is (336) 553-1659.
What is Southeast Georgia Anesthesia LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Southeast Georgia Anesthesia LLC enrolled in Medicare?
Yes. Southeast Georgia Anesthesia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Georgia Anesthesia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Southeast Georgia Anesthesia LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (5), Anesthesiology Assistant (2) and Anesthesiology (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeast Georgia Anesthesia LLC was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Southeast Georgia Anesthesia Llc · NPI 1265518849
Anesthesiology organization in Waycross, Georgia. Organization record, active in the CMS NPPES registry since October 27, 2006.
## Identity
- **NPI:** 1265518849 (Entity type: Organization)
- **Enumerated:** October 27, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **Organization subpart:** No
- **Authorized official:** Keith Johnson, MEMBER
## Practice location
- **Address:** 410 DARLING AVE, ANESTHESIA DEPT, Waycross, GA 31501-5246
- **Phone:** (336) 553-1659 · **Fax:** (336) 553-3994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (5), Anesthesiology Assistant (2), Anesthesiology (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2010
- **Other identifiers:** Medicare ID-Type Unspecified DF2706 (GA); Medicare PIN DF2706 (GA); Medicaid 999314012A (GA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1265518849) · Data from the CMS NPPES public registry.