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

Caleb Mingo, CAA

Individual provider Anesthesiologist Assistant · NPI 1699540112

Caleb Mingo, CAA is an Anesthesiology Assistant in Waycross, Georgia. Qualified in 2023, 3 years ago. Practices with Ams Southeast LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023

Practice location Address checks out

1900 Tebeau St
Waycross, GA 31501-6357
Phone: (912) 283-3030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 11891 (GA)

Record details

NPI number1699540112
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address110 Allen Ln, Nahunta, GA 31553-2060

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ams Southeast Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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