NMDA ANESTHESIA LLC
NPI 1306123336
Nurse Anesthetist, Certified Registered in Macon, GA

Q: What is Nmda Anesthesia LLC's NPI number?

The NPI number for Nmda Anesthesia LLC is 1306123336. It was assigned to this organization in the NPPES registry on November 4, 2011.

Q: What is Nmda Anesthesia LLC's specialty?

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

Active since November 04, 2011

577 MULBERRY ST STE 110, MACON, GA 31201(888) 728-0882 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2020, May 7, 2020, Apr 25, 2018 (3 updates tracked since 2018).

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About Nmda Anesthesia Llc NPPES

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

NMDA ANESTHESIA LLC (NPI 1306123336) is a healthcare organization registered as a nurse anesthetist, certified registered in Macon, Georgia and active in the NPI registry since November 2011. The organization maintains a secondary practice location in Alpharetta and lists Richard Douberly, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1306123336

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameNMDA ANESTHESIA LLC

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

Mailing AddressPo Box 850001 Dept 740uOrlando, FL 32885-4380 · (941) 360-1566

Phone(888) 728-0882

Organization SubpartNo

Authorized OfficialRichard DouberlyMember Manager · (888) 728-0882

Enumeration DateNovember 4, 2011

Last NPPES UpdateAugust 14, 20203 updates tracked since enumeration

NPPES CertifiedAugust 14, 2020

✔ NPI 1306123336 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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Secondary Practice Location 1

Location 14080 McGinnis Ferry Rd Ste 102Alpharetta, GA 30005-3901 · Phone (888) 728-0882 ext. 1 · Fax (888) 512-1507

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 83 clinicians reassign Medicare billing to Nmda Anesthesia LLC, 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)79

Anesthesiology4