| Travis Fite, | |
|
777 Hemlock St, Macon, GA 31201-2102 | |
| (478) 633-1000 | |
| Not Available |
| Full Name | Travis Fite |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 777 Hemlock St, Macon, 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 |
|---|---|---|---|
| 1417689522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CR001111 (South Dakota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | GAA-CRNA000978 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
| Coliseum Northside Hospital | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Anesthesia Llc | 2163837972 | 365 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| 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 | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| 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 |
| Entity Name | Radiance Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194381236 PECOS PAC ID: 5890116032 Enrollment ID: O20200526003208 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Entity Name | Vision Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134740319 PECOS PAC ID: 0648691592 Enrollment ID: O20210428000240 |
| Entity Name | Overwatch Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528616810 PECOS PAC ID: 3678949146 Enrollment ID: O20221025001644 |
| Entity Name | Integrated Anesthesia Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205656618 PECOS PAC ID: 2466972377 Enrollment ID: O20250221003609 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Fite, 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 Ph: () - | Travis Fite, 777 Hemlock St, Macon, GA 31201-2102 Ph: (478) 633-1000 |
Virginia Garrison Crouse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Angela D Jenkins I, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr., Ste 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Richard A Scherer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Demetra D Mcglothin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Mr. Keath L. Morgan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Kelli Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Rickey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 |