| David Hardy, CRNA | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (229) 353-6124 | |
| (229) 353-7722 |
| Full Name | David Hardy |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 901 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487997086 | NPI | - | NPPES |
| RN198264 | Other | GA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN198264 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Southeast Llc | 3870880792 | 69 |
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Entity Name | Crisp Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700851649 PECOS PAC ID: 5991616336 Enrollment ID: O20040107000032 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Mailing Address | Practice Location Address |
|---|---|
| David Hardy, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6124 | David Hardy, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6124 |
Cole Burgess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
Heath Farmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
Brenda H. Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Brianna Emadi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Anna Driggers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Jacob Paulk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
June Harper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722 |