| Laurie J Yates, CRNA | |
| 1120 15th St, Room 2144, Augusta, GA 30912-0004 | |
| (706) 721-3873 | |
| (706) 721-7763 | 
| Full Name | Laurie J Yates | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1120 15th St, Augusta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093886541 | NPI | - | NPPES | 
| 000576056B | Medicaid | GA | |
| 000576056C | Medicaid | GA | |
| 339355 | Other | GA | WELLCARE CMO | 
| 430079464 | Other | GA | RRMEDICARE | 
| 550789920 | Other | GA | TRICARE | 
| GAN107 | Medicaid | SC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN110884 (Georgia) | Primary | 
| Entity Name | Au Medical Associates Anesthesia Billing Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 | 
| Entity Name | Wellstar Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Laurie J Yates, CRNA Po Box 28068, Chattanooga, TN 37424-8068 Ph: (877) 899-1033 | Laurie J Yates, CRNA 1120 15th St, Room 2144, Augusta, GA 30912-0004 Ph: (706) 721-3873 | 
| John Kenneth Hawkins, CRNA, PHD Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-9744 Fax: 706-721-6778 | |
| Seidu B Issah, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
| Daniel Don Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2224 Bridgeton Rd, Augusta, GA 30909 Phone: 706-631-3575 | |
| Carla Flowers Duffie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Room Bi-2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
| Jill A Nesley, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Room 2144, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
| Amber Dawn Toulson,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-373-3877 | |
| Kristin M. Geraghty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-3871 |