| Keri Ann Paulk, CRNA | |
|
901 Griffin Ave, Eastman, GA 31023-6720 | |
| (478) 448-4020 | |
| (478) 448-4020 |
| Full Name | Keri Ann Paulk |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 901 Griffin Ave, Eastman, 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 |
|---|---|---|---|
| 1144525940 | NPI | - | NPPES |
| 003105271A | Medicaid | GA | |
| 0031395-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9236806 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN212553 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coffee Regional Medical Center Inc | 4587656012 | 21 |
| 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 | Coffee Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
| 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 | Irwin County Anesthesia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275754103 PECOS PAC ID: 8426109588 Enrollment ID: O20090630000646 |
| 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 | Guardian Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
| Entity Name | Southern Sleepers Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720520646 PECOS PAC ID: 3870876469 Enrollment ID: O20170206000613 |
| Entity Name | Lala Land Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093242422 PECOS PAC ID: 1254602733 Enrollment ID: O20170801003166 |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Ann Paulk, CRNA 62 Sugar Creek Ln, Eastman, GA 31023-3784 Ph: (229) 646-1348 | Keri Ann Paulk, CRNA 901 Griffin Ave, Eastman, GA 31023-6720 Ph: (478) 448-4020 |