Amanda Johnstun, | |
645 Shipley Ave, Grovetown, GA 30813-4249 | |
(706) 836-8161 | |
Not Available |
Full Name | Amanda Johnstun |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 645 Shipley Ave, Grovetown, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891150595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN209314 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Llc | 2163837972 | 157 |
Southern Anesthesia Of Augusta Llc | 5294030466 | 7 |
Entity Name | University Anesthesiology Assoc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790722593 PECOS PAC ID: 4789586314 Enrollment ID: O20040123000807 |
Entity Name | Anesthesia Consultants Of Augusta Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881877793 PECOS PAC ID: 6204905763 Enrollment ID: O20080523000204 |
Entity Name | Southern Anesthesia Of Augusta Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356706709 PECOS PAC ID: 5294030466 Enrollment ID: O20160225001532 |
Entity Name | Piedmont Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Amanda Johnstun, 645 Shipley Ave, Grovetown, GA 30813-4249 Ph: () - | Amanda Johnstun, 645 Shipley Ave, Grovetown, GA 30813-4249 Ph: (706) 836-8161 |
James Alexander Gill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 616 Gregory Fls, Grovetown, GA 30813 Phone: 706-339-8002 | |
Mr. Dewey Gene Galeas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6126 Columbia Rd, Grovetown, GA 30813 Phone: 706-541-2025 Fax: 706-541-2025 |