SOUTHEAST ANESTHESIA PROFESSIONALS LLC
NPI 1790037422
Nurse Anesthetist, Certified Registered in Warner Robins, GA
NPI Status: Active since October 04, 2012
Contact Information
4501 RUSSELL PKWY STE 17
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 333-1236
Fax: (478) 352-0095
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 11D2270408
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-13-2026
About SOUTHEAST ANESTHESIA PROFESSIONALS LLC
This page provides the complete NPI Profile along with additional information for Southeast Anesthesia Professionals Llc, a provider established in Warner Robins, Georgia operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1790037422 assigned on October 2012. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rhonda Ballinger (Administrator)
- NPI
- 1790037422
- Provider Name
- SOUTHEAST ANESTHESIA PROFESSIONALS LLC
- Entity Type
- Organization
- Location Address
- 4501 RUSSELL PKWY STE 17 WARNER ROBINS, GA 31088
- Location Phone
- (478) 333-1236
- Location Fax
- (478) 352-0095
- Mailing Address
- PO BOX 6377 WARNER ROBINS, GA 31095
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2012
- Last Update Date
- 07-24-2020
- Code Navigator
Location Map
Secondary Locations
- 3231 Highway 34 E Ste B
Newnan, GA 30265
(478) 333-1236 - 1300 Upper Hembree Rd Ste B
Roswell, GA 30076
(478) 333-1236 - 730 S 8th St
Griffin, GA 30224
(478) 333-1236 - 6911 Tara Blvd
Jonesboro, GA 30236
(478) 333-1236
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- GA
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2270408
- Facility Type
- Physician Office
- Certificate Effective Date
- October 14, 2024
- Certificate Expiration Date
- October 13, 2026
- Laboratory Director
- ANILKUMAR PILLAI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeast Anesthesia Professionals Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790037422, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790037422, enumerated as an "organization" on October 04, 2012.
The provider is located at 4501 RUSSELL PKWY STE 17 WARNER ROBINS, GA 31088 and the phone number is (478) 333-1236.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
