| Justin Michael Davidson, CRNA | |
|
2594 Northern Oak Dr, Braselton, GA 30517-6058 | |
| (404) 731-9686 | |
| (478) 352-0095 |
| Full Name | Justin Michael Davidson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 2594 Northern Oak Dr, Braselton, 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 |
|---|---|---|---|
| 1609016187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN170478 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Services Of North Georgia Llc | 5395140925 | 4 |
| Grand Anesthesia Llc | 0345579876 | 29 |
| Entity Name | Sweet Dreams Nurse Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649463365 PECOS PAC ID: 5294823266 Enrollment ID: O20071109000111 |
| Entity Name | Nmda Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 |
| Entity Name | Atlanta Anesthesia Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487928370 PECOS PAC ID: 4486818093 Enrollment ID: O20120612000168 |
| Entity Name | Sweet Dreams Anesthesiology Nurses of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669737409 PECOS PAC ID: 0941456446 Enrollment ID: O20120816000621 |
| Entity Name | SG Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053750646 PECOS PAC ID: 3072757079 Enrollment ID: O20130912000589 |
| Entity Name | Au Anesthesiology, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831440478 PECOS PAC ID: 0941437842 Enrollment ID: O20131223000682 |
| 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 | Sentry Anesthesia Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| 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 | 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 | Avvc Anesthesia, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982074431 PECOS PAC ID: 7719278852 Enrollment ID: O20160621002690 |
| 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 | 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 |
| Entity Name | Center for Spine & Pain Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1982186425 PECOS PAC ID: 6709875297 Enrollment ID: O20181128002786 |
| 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 |
| Entity Name | Grand Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689230724 PECOS PAC ID: 0345579876 Enrollment ID: O20190910000358 |
| Entity Name | Anesthesia Dynamics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Entity Name | Radiance Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
| Entity Name | Anesthesia Services of North Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386216604 PECOS PAC ID: 5395140925 Enrollment ID: O20210820000002 |
| Entity Name | Sda Consultants PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20211101000298 |
| Entity Name | Ad of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144073818 PECOS PAC ID: 2567905888 Enrollment ID: O20240614002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Michael Davidson, CRNA 2594 Northern Oak Dr, Braselton, GA 30517-6058 Ph: (404) 731-9686 | Justin Michael Davidson, CRNA 2594 Northern Oak Dr, Braselton, GA 30517-6058 Ph: (404) 731-9686 |
Mrs. Becky Diane Woodson-allen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2230 Tee Dr, Braselton, GA 30517 Phone: 770-614-0512 Fax: 770-614-9190 |