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

Organization Anesthesiology Physician · NPI 1265896484

Georgia Anesthesia Medical Group, LLC is an Anesthesiology Physician in Waycross, Georgia. Registered with an NPI since 2016.

In the registry since
2016
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

2003 Alice St Ste 2003B
Waycross, GA 31501-6209
Phone: (912) 490-3338
Fax: (336) 553-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1265896484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Johnson — President · (336) 553-1659
NPI enumeratedApril 13, 2016
Last updated in NPPESApril 21, 2016
Mailing addressPo Box 18666, Greensboro, NC 27419-8666

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