| Mandi Davidson, CRNA | |
|
901 18th St E, Tifton, GA 31794-3648 | |
| (229) 353-3347 | |
| (229) 353-7722 |
| Full Name | Mandi Davidson |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 901 18th St E, Tifton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871729954 | NPI | - | NPPES |
| RN150260 | Other | GA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN150260 (Georgia) | Primary |
| Entity Name | Robins Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154392660 PECOS PAC ID: 1052207792 Enrollment ID: O20040227000514 |
| 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 | General Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134509680 PECOS PAC ID: 0648490946 Enrollment ID: O20150708002052 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Davidson, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-3347 | Mandi Davidson, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-3347 |
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 |