| Mrs Joann L Carson, | |
| 160 Clinic Ave, Carrollton, GA 30117-4451 | |
| (770) 834-1008 | |
| (770) 834-2531 | 
| Full Name | Mrs Joann L Carson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 160 Clinic Ave, Carrollton, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1194795047 | NPI | - | NPPES | 
| 374945 | Other | GA | B CROSS | 
| 000716394D | Other | GA | MEDICAID X OVER | 
| 000716394I | Medicaid | GA | |
| 000716394J | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN130954CRNA (Georgia) | Primary | 
| Entity Name | Progressive Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215225560 PECOS PAC ID: 7618148263 Enrollment ID: O20110912000776 | 
| Entity Name | Wgg Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578843280 PECOS PAC ID: 4981875325 Enrollment ID: O20110915000641 | 
| Entity Name | Nmda Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306123336 PECOS PAC ID: 7113193541 Enrollment ID: O20120105000663 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Joann L Carson, 9488 Lakeview Ct, Douglasville, GA 30135 Ph: (770) 947-4210 | Mrs Joann L Carson, 160 Clinic Ave, Carrollton, GA 30117-4451 Ph: (770) 834-1008 | 
| Colby Jon Williamson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
| Brandon Gabe Graves, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
| Mark Schmitz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
| Mrs. Natalie M Shields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
| Jeffrey Dishman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
| Glenn Jeffrey Ray,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-301-0858 |