Mrs Joann L Carson, | |
160 Clinic Ave, Carrollton, GA 30117-4451 | |
(770) 834-1008 | |
(770) 834-2531 |
Full Name | Mrs Joann L Carson |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 160 Clinic Ave, Carrollton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194795047 | NPI | - | NPPES |
374945 | Other | GA | B CROSS |
000716394D | Other | GA | MEDICAID X OVER |
000716394I | Medicaid | GA | |
000716394J | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN130954CRNA (Georgia) | Primary |
Entity Name | Progressive Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
Entity Name | Wgg Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578843280 PECOS PAC ID: 4981875325 Enrollment ID: O20110915000641 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mrs Joann L Carson, 9488 Lakeview Ct, Douglasville, GA 30135 Ph: (770) 947-4210 | Mrs Joann L Carson, 160 Clinic Ave, Carrollton, GA 30117-4451 Ph: (770) 834-1008 |
Colby Jon Williamson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Brandon Gabe Graves, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
Mark Schmitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Jeffrey Dishman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Glenn Jeffrey Ray, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-301-0858 | |
Jaclyn M Aldridge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 |