Mr Edward Roy Gibson, | |
2260 Wrightsboro Rd, Augusta, GA 30904-4764 | |
(803) 278-2473 | |
Not Available |
Full Name | Mr Edward Roy Gibson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 2260 Wrightsboro Rd, Augusta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417288093 | NPI | - | NPPES |
413298719B | Medicaid | GA | |
GAN945 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN150012 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN150012 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Burke Medical Center | Waynesboro, GA | Hospital |
Doctors Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Consultants Of Augusta Llc | 6204905763 | 72 |
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 | Ams Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward Roy Gibson, 3903 Beaver Brook Dr, Martinez, GA 30907-4167 Ph: (706) 650-2053 | Mr Edward Roy Gibson, 2260 Wrightsboro Rd, Augusta, GA 30904-4764 Ph: (803) 278-2473 |
John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 | |
Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 | |
Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Amber Dawn Toulson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-373-3877 | |
Kristin M. Geraghty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-3871 |