| Michelle S Womble Custer, CRNA | |
|
65 Waddell Rd, Woodbury, GA 30293-4008 | |
| (706) 573-6769 | |
| (706) 553-3525 |
| Full Name | Michelle S Womble Custer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 65 Waddell Rd, Woodbury, 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 |
|---|---|---|---|
| 1790850592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN149265 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Guardian Medical Services Llc | 8325347735 | 24 |
| Phoebe Physician Group Inc | 8426112350 | 375 |
| 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 | 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 | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Synergy Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003040502 PECOS PAC ID: 4385781954 Enrollment ID: O20091030000317 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Columbus Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366742538 PECOS PAC ID: 8527254887 Enrollment ID: O20101129000424 |
| 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 | Wilson Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104178482 PECOS PAC ID: 5698926673 Enrollment ID: O20121126000110 |
| 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 | Twilight Consulting & Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376902478 PECOS PAC ID: 3678872694 Enrollment ID: O20160426001056 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle S Womble Custer, CRNA 80 Newnan Station Dr, Ste A, Newnan, GA 30265-3194 Ph: (770) 814-6011 | Michelle S Womble Custer, CRNA 65 Waddell Rd, Woodbury, GA 30293-4008 Ph: (706) 573-6769 |