WAYNE JUWAN DARISAW
NPI 1619530276
Anesthesiology in Tifton, GA
About Wayne Juwan Darisaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAYNE JUWAN DARISAW (NPI 1619530276) is an individual anesthesiology provider in Tifton, Georgia, licensed in Georgia (100941) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Tift Regional Medical Center, and is a graduate of Morehouse School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Wayne Juwan Darisaw 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.
Medicare Billing Reassignments
4Medicare enrollment records show Wayne Darisaw reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tifton, GA 31794
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, Georgia enrollment
- 65 clinicians in this Medicare group
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.
Tift Regional Medical Center
Acute Care Hospitals · Tifton, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIFTON, GA 31794
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 Wayne Darisaw's NPI number?
The NPI number for Wayne Darisaw is 1619530276. It was assigned to this individual provider in the NPPES registry on April 19, 2019.
Where is Wayne Darisaw located?
Wayne Darisaw practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.
What is Wayne Darisaw's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Wayne Darisaw enrolled in Medicare?
Yes. Wayne Darisaw 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 organizations bill Medicare for Wayne Darisaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Darisaw reassigns Medicare benefits to 4 organizations: Tift Regional Health System Inc. (Tifton, GA), Piedmont Anesthesia LLC (Stockbridge, GA), Sentry Anesthesia Management, LLC (Newnan, GA) and Medstream Anesthesia PLLC (Richardson, TX). Each 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 Wayne Darisaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wayne Darisaw accept?
Health plans from Alliant Health Plans, Inc. and CareSource list Wayne Darisaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Wayne Darisaw affiliated with any hospitals?
According to CMS data, Wayne Darisaw is affiliated with Tift Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Wayne Darisaw was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Wayne Juwan Darisaw · NPI 1619530276
Anesthesiology physician in Tifton, Georgia. Individual provider, active in the CMS NPPES registry since April 19, 2019.
## Identity
- **NPI:** 1619530276 (Entity type: Individual)
- **Enumerated:** April 19, 2019
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 100941 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 18TH ST E, Tifton, GA 31794-3648
- **Phone:** (229) 382-7120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tift Regional Health System Inc. (NPI 1962462226, Tifton, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA); Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); Medstream Anesthesia PLLC (NPI 1649616160, Richardson, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 28, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1619530276) · Data from the CMS NPPES public registry.