Mr Mac Bradley Davis, CRNA | |
209 North Cuthbert Street, Colquitt, GA 39837 | |
(229) 220-4498 | |
Not Available |
Full Name | Mr Mac Bradley Davis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 209 North Cuthbert Street, Colquitt, 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 |
---|---|---|---|
1942514609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN168512 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sweet Dreams Nurse Anesthesia Of Georgia, Llc | 7719138353 | 3 |
Entity Name | Grady General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013961507 PECOS PAC ID: 7618866518 Enrollment ID: O20040310001254 |
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 | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Entity Name | Synergy Anesthesiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
Entity Name | Sweet Dreams Nurse Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891005989 PECOS PAC ID: 1658568621 Enrollment ID: O20120525000211 |
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 | Sweet Dreams Nurse Anesthesia Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003168923 PECOS PAC ID: 7719138353 Enrollment ID: O20121108000271 |
Entity Name | Okefenokee Anesthesia Company, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538403324 PECOS PAC ID: 6305099482 Enrollment ID: O20130124000157 |
Entity Name | General Anesthesia Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134509680 PECOS PAC ID: 0648490946 Enrollment ID: O20150708002052 |
Entity Name | Grand Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689230724 PECOS PAC ID: 0345579876 Enrollment ID: O20190910000358 |
Entity Name | Radiance Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
Entity Name | Vision Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20210428000240 |
Mailing Address | Practice Location Address |
---|---|
Mr Mac Bradley Davis, CRNA Po Box 403, Donalsonville, GA 39845 Ph: (229) 524-8581 | Mr Mac Bradley Davis, CRNA 209 North Cuthbert Street, Colquitt, GA 39837 Ph: (229) 220-4498 |
Karen Nicole Trawick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St,, Colquitt, GA 39837 Phone: 229-758-3385 | |
Amanda Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-4212 | |
Charles J Fetner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 209 N Cuthbert St, Colquitt, GA 39837 Phone: 229-758-6062 |