Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ryan C. Wallentine, PA-AA

Individual provider Anesthesiologist Assistant · NPI 1114209525

Mr. Ryan C. Wallentine, PA-AA is an Anesthesiology Assistant in Macon, Georgia. Graduated from Nova Southeastern Univ College of Dental Medicine in 2011, 15 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
GA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

380 Hospital Dr Ste 410
Macon, GA 31217
Phone: (478) 746-5644
Fax: (478) 745-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 006279 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X (GA)

Record details

NPI number1114209525
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-AA
Sole proprietorNo
NPI enumeratedSeptember 12, 2011
Last updated in NPPESJune 4, 2013

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2011 (15 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Macon