| Earnest Darren Moore, CRNA | |
|
619 S 8th St Ste 302, Griffin, GA 30224-4260 | |
| (888) 408-0200 | |
| (888) 505-6721 |
| Full Name | Earnest Darren Moore |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 22 Years |
| Location | 619 S 8th St Ste 302, Griffin, 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 |
|---|---|---|---|
| 1568438547 | NPI | - | NPPES |
| 4092278 | Other | TN | BCBS |
| 3633795 | Medicaid | TN |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Perimeter Anesthesia Llc | 2567763048 | 14 |
| Sleep Ezzy | 4486920295 | 21 |
| Entity Name | Greater Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518128289 PECOS PAC ID: 7810064029 Enrollment ID: O20080930000033 |
| Entity Name | Anesthesia Solutions Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093035677 PECOS PAC ID: 5991998965 Enrollment ID: O20101022000244 |
| Entity Name | Mulkey Anesthesiology Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417288069 PECOS PAC ID: 6406035583 Enrollment ID: O20110120001157 |
| Entity Name | Perimeter Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922402445 PECOS PAC ID: 2567763048 Enrollment ID: O20151229001858 |
| Entity Name | Sleep Ezzy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
| Entity Name | Csp Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568946812 PECOS PAC ID: 6901147206 Enrollment ID: O20190415002910 |
| Mailing Address | Practice Location Address |
|---|---|
| Earnest Darren Moore, CRNA 7288 Snapdragon Ln, Ooltewah, TN 37363-6579 Ph: (423) 304-0247 | Earnest Darren Moore, CRNA 619 S 8th St Ste 302, Griffin, GA 30224-4260 Ph: (888) 408-0200 |
Charles Frederick Graci Sr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1003 Amicalola Ct, Griffin, GA 30223 Phone: 770-233-0024 | |
Mr. Ron Shannon Walters, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 |