| Courtney Shafer, | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 812-9666 | |
| Not Available |
| Full Name | Courtney Shafer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 705 Dixie St, Carrollton, 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 |
|---|---|---|---|
| 1962981381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 118210 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-west Georgia Anesthesia Associates Inc. | 2365456308 | 65 |
| Entity Name | North Fulton Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
| 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 | Progressive Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 |
| Entity Name | Greater Atlanta Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285043158 PECOS PAC ID: 7315264645 Enrollment ID: O20150326000819 |
| Entity Name | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Shafer, 770 Spalding Heights Dr, Sandy Springs, GA 30350-5539 Ph: (770) 401-9190 | Courtney Shafer, 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 |