ALYSSA C SYRIBEYS, CRNA - NPI NUMBER 1306067160

Summary

Provider Name: ALYSSA C SYRIBEYS, CRNA

NPI Number: 1306067160

Clasification: Nurse Anesthetist, Certified Registered (367500000X)

Organization: THE MEDICAL CENTER OF CENTRAL GEORGIA INC.

Address:
777 HEMLOCK ST
MACON, GA
ZIP 31201

Phone Number: (478) 633-2129



Detailed Information

Alyssa C Syribeys, CRNA is a nurse anesthetist, certified registered in Macon, GA with 10 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. The assigned NPI number for this provider is 1306067160 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year: 2004

The provider's business address is:

777 HEMLOCK ST
MACON, GA
ZIP 31201-102
Phone: (478) 633-2129

The enumeration date for this NPI number is 5/1/2007 and was last updated on 8/8/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 367500000X Nurse Anesthetist, Certified Registered RN173139 GA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 960200153A MEDICAID GA
2 960200153A OTHER GA PEACHSTATE CMO - MCCG
3 344306 OTHER GA WELLCARE CMO - MCCG
4 P00215559 OTHER GA RAILROAD MCR - MCCG
5 Q36085 MEDICARE UPIN GA
6 43ZCBFB206 MEDICARE PIN GA

NPI Record

No. Field Name Field Value
1 NPI 1306067160
2 Entity Type Code 1
3 Provider Last Name Legal Name SYRIBEYS
4 Provider First Name ALYSSA
5 Provider Middle Name C
6 Provider Credential Text CRNA
7 Provider First Line Business Practice Location Address 777 HEMLOCK ST
8 Provider Business Practice Location Address City Name MACON
9 Provider Business Practice Location Address State Name GA
10 Provider Business Practice Location Address Postal Code 312012102
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 4786332129
13 Provider Enumeration Date 5/1/2007
14 Last Update Date 8/8/2011
15 Provider Gender Code F
16 Healthcare Provider Taxonomy Code 1 367500000X
17 Provider License Number 1 RN173139
18 Provider License Number State Code 1 GA
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Other Provider Identifier 1 960200153A
21 Other Provider Identifier Type Code 1 05
22 Other Provider Identifier State 1 GA
23 Other Provider Identifier 2 960200153A
24 Other Provider Identifier Type Code 2 01
25 Other Provider Identifier State 2 GA
26 Other Provider Identifier Issuer 2 PEACHSTATE CMO - MCCG
27 Other Provider Identifier 3 344306
28 Other Provider Identifier Type Code 3 01
29 Other Provider Identifier State 3 GA
30 Other Provider Identifier Issuer 3 WELLCARE CMO - MCCG
31 Other Provider Identifier 4 P00215559
32 Other Provider Identifier Type Code 4 01
33 Other Provider Identifier State 4 GA
34 Other Provider Identifier Issuer 4 RAILROAD MCR - MCCG
35 Other Provider Identifier 5 Q36085
36 Other Provider Identifier Type Code 5 02
37 Other Provider Identifier State 5 GA
38 Other Provider Identifier 6 43ZCBFB206
39 Other Provider Identifier Type Code 6 08
40 Other Provider Identifier State 6 GA
41 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.