AC ANESTHESIOLOGY LLC — NPI 1467728808 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered in PERRY, GA)

CMS-1500 Box 24J / 33a • NPI

1467728808

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

367500000X (CMS 43)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered

Box 32 Service Location & ZIP+4

807 CARROLL ST, SUITE C, PERRY, GA, 31069-3311

✓ 9-Digit EDI 837 ZIP+4 (31069-3311)

Practice Phone & Referral Fax

(478) 929-0036

Fax: (478) 929-1744

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467728808 (AC ANESTHESIOLOGY LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467728808` (NPI-2 Organization / Facility)
Provider / Legal Name	AC ANESTHESIOLOGY LLC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: `367500000X` (Nurse Anesthetist, Certified Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	807 CARROLL ST, SUITE C, PERRY, GA, 31069-3311
Practice Telephone / Fax	Tel: (478) 929-0036 \| Fax: (478) 929-1744
Administrative Mailing Address	PO BOX 629, PERRY, GA, 31069-0629
Enumeration & Last Sync	Enumerated: 2012-03-29 \| CMS Record Updated: 2012-03-29
Authorized Official	PAUL WEIR (ADMINISTRATOR)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

807 CARROLL ST, SUITE C, PERRY, GA, 31069-3311

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Plain-English Taxonomy & CMS Crosswalk (367500000X)

What Does Taxonomy Code 367500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 43 (Certified Registered Nurse Anesthetist (CRNA))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Anesthetist, Certified Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AC ANESTHESIOLOGY LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367500000X` — Nurse Anesthetist, Certified Registered Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered	State: GA \| License: `135680` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AC ANESTHESIOLOGY LLC (NPI #1467728808)