SOUTHERN SLEEPERS ANESTHESIA LLC
NPI 1720520646
Nurse Anesthetist, Certified Registered in Douglas, GA

Active since November 09, 2016
300 SHIRLEY AVE, DOUGLAS, GA 31533(229) 469-7653(226) 469-7655 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Mar 22, 2021, Jan 4, 2021 and 1 more (4 updates tracked since 2016).

About Southern Sleepers Anesthesia Llc NPPES

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

SOUTHERN SLEEPERS ANESTHESIA LLC (NPI 1720520646) is a healthcare organization registered as a nurse anesthetist, certified registered in Douglas, Georgia and active in the NPI registry since November 2016. The organization lists Keri Paulk, Crna, as its authorized official.

NPPES Registry Identity

NPI1720520646
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameSOUTHERN SLEEPERS ANESTHESIA LLC
Location Address300 SHIRLEY AVEDouglas, GA 31533-2332
Mailing AddressPo Box 661495Birmingham, AL 35266-1495 · (205) 979-5882 · Fax (205) 979-1248
Fax(226) 469-7655
Organization SubpartNo
Authorized OfficialKeri PaulkCrna · (229) 646-1348
Enumeration DateNovember 9, 2016
Last NPPES UpdateSeptember 22, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1720520646 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.
300 SHIRLEY AVE, Douglas, GA 31533

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)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Southern Sleepers Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1619933975
1101 OCILLA RD
Douglas, GA 31533
(800) 232-5703
✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770963704
199 SPARROW LN
Nicholls, GA 31554
(912) 393-4869
✔ Accepts Medicare5.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1215227202
901 18TH ST E
Tifton, GA 31794
(229) 353-6124
✔ Accepts Medicare37 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144525940
901 GRIFFIN AVE
Eastman, GA 31023
(478) 448-4020
✔ Accepts Medicare50 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1205964202
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
(678) 604-1053
✔ Accepts Medicare160 mi

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 Southern Sleepers Anesthesia LLC's NPI number?

The NPI number for Southern Sleepers Anesthesia LLC is 1720520646. It was assigned to this organization in the NPPES registry on November 9, 2016.

Where is Southern Sleepers Anesthesia LLC located?

Southern Sleepers Anesthesia LLC is located at 300 Shirley Ave, Douglas, GA 31533. The listed phone number is (229) 469-7653.

What is Southern Sleepers Anesthesia LLC's specialty?

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

Is Southern Sleepers Anesthesia LLC enrolled in Medicare?

Yes. Southern Sleepers Anesthesia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Sleepers Anesthesia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Southern Sleepers 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. Of these, 2 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 Southern Sleepers Anesthesia LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.