Byron Anderson, CRNA | |
5885 Bluegrass Vw, Fairburn, GA 30213-4735 | |
(404) 748-2698 | |
Not Available |
Full Name | Byron Anderson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5885 Bluegrass Vw, Fairburn, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780052704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN199166 (Georgia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AP128939 (Texas) | Secondary |
Entity Name | Grady Memorial Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Entity Name | Coastal Ambulatory Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
Entity Name | Sleep Ezzy |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
Entity Name | Gi Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
Entity Name | Jc Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821501206 PECOS PAC ID: 1456614627 Enrollment ID: O20180423000731 |
Entity Name | Anesthesia Surgical Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427587435 PECOS PAC ID: 3072868959 Enrollment ID: O20180618001140 |
Entity Name | Radius Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
Entity Name | Anesthesia Services Of Atlanta, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124657465 PECOS PAC ID: 6406252949 Enrollment ID: O20210908001767 |
Entity Name | Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588425649 PECOS PAC ID: 2062850936 Enrollment ID: O20240411000461 |
Mailing Address | Practice Location Address |
---|---|
Byron Anderson, CRNA 5885 Bluegrass Vw, Fairburn, GA 30213-4735 Ph: (404) 748-2698 | Byron Anderson, CRNA 5885 Bluegrass Vw, Fairburn, GA 30213-4735 Ph: (404) 748-2698 |