Justin Michael Davidson, CRNA | |
2594 Northern Oak Dr, Braselton, GA 30517-6058 | |
(404) 731-9686 | |
(478) 352-0095 |
Full Name | Justin Michael Davidson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 2594 Northern Oak Dr, Braselton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609016187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN170478 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sda Consultants Pllc | 3870825912 | 24 |
Anesthesia Services Of North Georgia Llc | 5395140925 | 6 |
Entity Name | Anesthesia Associates Of Gainesville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009 |
Entity Name | Ambulatory Anesthesia Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033271481 PECOS PAC ID: 4486648698 Enrollment ID: O20040412000728 |
Entity Name | Ambulatory Anesthesia Of North Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181 |
Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
Entity Name | Nmda Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
Entity Name | Sweet Dreams Anesthesiology Nurses Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669737409 PECOS PAC ID: 0941456446 Enrollment ID: O20120816000621 |
Entity Name | Sg Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053750646 PECOS PAC ID: 3072757079 Enrollment ID: O20130912000589 |
Entity Name | Au Anesthesiology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831440478 PECOS PAC ID: 0941437842 Enrollment ID: O20131223000682 |
Entity Name | Rg Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Perimeter Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922402445 PECOS PAC ID: 2567763048 Enrollment ID: O20151229001858 |
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 | Excalibur Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679933774 PECOS PAC ID: 4284930793 Enrollment ID: O20160309002234 |
Entity Name | Avvc Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982074431 PECOS PAC ID: 7719278852 Enrollment ID: O20160621002690 |
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 | Glga Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467927038 PECOS PAC ID: 9234483835 Enrollment ID: O20181119000555 |
Entity Name | Center For Spine & Pain Medicine Pc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1982186425 PECOS PAC ID: 6709875297 Enrollment ID: O20181128002786 |
Entity Name | Csp Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568946812 PECOS PAC ID: 6901147206 Enrollment ID: O20190415002910 |
Entity Name | Anesthesia Services Of North Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386216604 PECOS PAC ID: 5395140925 Enrollment ID: O20210820000002 |
Entity Name | Sda Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20211101000298 |
Entity Name | Anesthesia Services Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942972575 PECOS PAC ID: 6002206935 Enrollment ID: O20211207002133 |
Mailing Address | Practice Location Address |
---|---|
Justin Michael Davidson, CRNA 2594 Northern Oak Dr, Braselton, GA 30517-6058 Ph: (404) 731-9686 | Justin Michael Davidson, CRNA 2594 Northern Oak Dr, Braselton, GA 30517-6058 Ph: (404) 731-9686 |
Mrs. Becky Diane Woodson-allen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2230 Tee Dr, Braselton, GA 30517 Phone: 770-614-0512 Fax: 770-614-9190 |