SOUTHEAST ANESTHESIA PROFESSIONALS LLC NPI 1790037422

NPI Information

  • NPI: 1790037422
  • Provider Name: SOUTHEAST ANESTHESIA PROFESSIONALS LLC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • CLIA Number: 11D2270408
  • Address: 4501 RUSSELL PKWY STE 17
    WARNER ROBINS, GA
    ZIP 31088
  • Phone: (478) 333-1236

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NPI Details

SOUTHEAST ANESTHESIA PROFESSIONALS LLC is a nurse anesthetist certified registered in Warner Robins, GA. 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. SOUTHEAST ANESTHESIA PROFESSIONALS LLC NPI is 1790037422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4501 RUSSELL PKWY STE 17
WARNER ROBINS, GA
ZIP 31088-680
Phone: (478) 333-1236
Fax: (478) 352-0095

The provider's authorized official is Rhonda Ballinger .
The authorized official title is Administrator and has the following contact phone number (478) 929-0036.

The CLIA number assigned to this NPI record is 11D2270408 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2012 and was last updated on 7/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1367500000XNurse Anesthetist, Certified RegisteredGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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