Weston Davenport, CRNA | |
1200 Memorial Drive, Dalton, GA 30720 | |
(205) 977-1949 | |
Not Available |
Full Name | Weston Davenport |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1200 Memorial Drive, Dalton, 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 |
---|---|---|---|
1346847480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN255176 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upson Regional Medical Center | Thomaston, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guardian Medical Services Llc | 8325347735 | 16 |
Entity Name | Anesthesia Associates Of Dalton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528153632 PECOS PAC ID: 5890692305 Enrollment ID: O20031215000070 |
Entity Name | Guardian Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
Entity Name | Fannin Regional Orthopaedic Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821530072 PECOS PAC ID: 0547543787 Enrollment ID: O20170213001849 |
Entity Name | Blue Lake Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265021364 PECOS PAC ID: 2365849973 Enrollment ID: O20210924000832 |
Mailing Address | Practice Location Address |
---|---|
Weston Davenport, CRNA 3104 Blue Lake Drive, Suite 110, Birmingham, AL 35243 Ph: (205) 977-1949 | Weston Davenport, CRNA 1200 Memorial Drive, Dalton, GA 30720 Ph: (205) 977-1949 |
Jamie Isaac Tew, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Christie Faye Cox, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Jennifer Lee Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Samantha Griffin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-271-0100 | |
Morgan Eddy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
Jerry Alan Swenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Drive, Anesthesia Associates Of Dalton, Dalton, GA 30720 Phone: 706-272-6000 |