Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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First Source Anesthesia, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1558728907

First Source Anesthesia, LLC is a Certified Registered Nurse Anesthetist in Macon, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

577 Mulberry St Ste 110
Macon, GA 31201-8220
Phone: (888) 728-0882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4080 McGinnis Ferry Rd, Alpharetta, GA 30005 — (888) 728-0882

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X (GA)

Record details

NPI number1558728907
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Douberly — Member Manager · (888) 728-0882
NPI enumeratedJanuary 15, 2016
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020
Mailing addressPo Box 850001, Dept #249, Orlanda, FL 32885-0249

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