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

Shade Raymond Preston IV, DO

Individual provider Anesthesiology Physician · NPI 1053431635

Shade Raymond Preston IV, DO is an Anesthesiology in Augusta, Georgia. Graduated from West Virginia School of Osteopathic Medicine in 2003, 23 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
23
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1350 Walton Way
Augusta, GA 30901-2612
Phone: (706) 737-9250
Fax: (706) 733-0697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 058811 (GA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 058811 (GA)

Record details

NPI number1053431635
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJune 16, 2008

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2003 (23 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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