| Cody Carr, | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 812-9666 | |
| Not Available |
| Full Name | Cody Carr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 705 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992278832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CARR-Y4TRYK (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Group Services, Llc | 0840338018 | 50 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Rg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Carr, 60 Rogers Dr, Bremen, GA 30110-4756 Ph: (706) 676-3034 | Cody Carr, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 812-9666 |
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: Medicare Enrolled 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: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-301-0858 | |
Mrs. Joann L Carson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 160 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531 | |
Jaclyn M Aldridge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 |