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

Timothy W Teddy, CRNA

Individual provider Registered Nurse · NPI 1902294366

Timothy W Teddy, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Macon, Georgia. Qualified in 2014, 12 years ago. Practices with Sentry Anesthesia Management, LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Georgia, Indiana, Kentucky and Ohio.

Years since qualifying
12
Licensed in
GA, IN, KY, OH
In the registry since
2015
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

777 Hemlock St
Macon, GA 31201-2102
Phone: (866) 507-5244
Fax: (855) 851-4405
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN244914 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 317661 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 1131140 (KY)
Registered Nurse Taxonomy 163W00000X · Licence 28213083A (IN)

Record details

NPI number1902294366
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 7, 2015
Last updated in NPPESFebruary 27, 2015
Mailing addressPo Box 551420, Fort Lauderdale, FL 33355-1420

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sentry Anesthesia Management, Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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