| Amanda Johnstun, | |
|
645 Shipley Ave, Grovetown, GA 30813-4249 | |
| (706) 836-8161 | |
| Not Available |
| Full Name | Amanda Johnstun |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 645 Shipley Ave, Grovetown, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891150595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN209314 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Southern Anesthesia Of Augusta Llc | 5294030466 | 6 |
| Entity Name | Anesthesia Consultants Of Augusta Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881877793 PECOS PAC ID: 6204905763 Enrollment ID: O20080523000204 |
| Entity Name | Southern Anesthesia Of Augusta Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356706709 PECOS PAC ID: 5294030466 Enrollment ID: O20160225001532 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Johnstun, 645 Shipley Ave, Grovetown, GA 30813-4249 Ph: () - | Amanda Johnstun, 645 Shipley Ave, Grovetown, GA 30813-4249 Ph: (706) 836-8161 |
James Alexander Gill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 616 Gregory Fls, Grovetown, GA 30813 Phone: 706-339-8002 | |
Mr. Dewey Gene Galeas, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6126 Columbia Rd, Grovetown, GA 30813 Phone: 706-541-2025 Fax: 706-541-2025 |