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

Organization Anesthesiology Physician · NPI 1538809009

Gastro South Anesthesia LLC is an Anesthesiology Physician in Macon, Georgia. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

249 Sheraton Blvd
Macon, GA 31210-1359
Phone: (478) 508-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1538809009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Judah — Managing Member · (478) 508-8113
NPI enumeratedMarch 31, 2022
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address249 Sheraton Blvd, Macon, GA 31210-1359

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