| Mr James A Joseph, CRNA | |
|
367 Clear Creek Pkwy, Lavonia, GA 30553-4173 | |
| (706) 356-7800 | |
| (706) 567-6036 |
| Full Name | Mr James A Joseph |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 367 Clear Creek Pkwy, Lavonia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598801524 | NPI | - | NPPES |
| 025919180E | Medicaid | GA | |
| 025919180F | Medicaid | GA | |
| 025919810A | Medicaid | GA | |
| 025919180B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN079744 (Georgia) | Primary |
| Entity Name | York County Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487974606 PECOS PAC ID: 1850586355 Enrollment ID: O20101110000500 |
| Entity Name | Sc Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205109428 PECOS PAC ID: 1052573565 Enrollment ID: O20120430000408 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20150127000437 |
| Entity Name | Grsc Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073289450 PECOS PAC ID: 4688067317 Enrollment ID: O20220202000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James A Joseph, CRNA 4523 Highway 246 N, Hodges, SC 29653-9705 Ph: (864) 374-7363 | Mr James A Joseph, CRNA 367 Clear Creek Pkwy, Lavonia, GA 30553-4173 Ph: (706) 356-7800 |