| Robert Briley, | |
|
1266 Ga-515, Jasper, GA 30143 | |
| (706) 692-2441 | |
| Not Available |
| Full Name | Robert Briley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1266 Ga-515, Jasper, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538526660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN201526 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fortis Health, Llc | 8325446305 | 13 |
| Entity Name | Colquitt Regional Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154580512 PECOS PAC ID: 2860563665 Enrollment ID: O20080623000359 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Fortis Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Briley, 101 Edgewater Trl, Canton, GA 30115-1812 Ph: (912) 536-0664 | Robert Briley, 1266 Ga-515, Jasper, GA 30143 Ph: (706) 692-2441 |
James Wesley Conner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1266 Highway 515 S, Jasper, GA 30143 Phone: 706-455-7737 | |
Susanne Raisor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1266 Highway 515 S, Jasper, GA 30143 Phone: 706-692-2441 | |
Janice Meeks, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 515 Highway 515 S, Jasper, GA 30143 Phone: 706-692-2441 | |
Jeffrey I Kalish, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 744 Noah Drive, Suite 113-315, Jasper, GA 30143 Phone: 706-301-1098 Fax: 706-301-9151 |