Radiance Anesthesia
NPI 1194381236 · Certified Registered Nurse Anesthetist · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Radiance Anesthesia is a Certified Registered Nurse Anesthetist organization in Macon, GA (NPI 1194381236).
Provider details
- NPI number
- 1194381236
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Richard Douberly, Director(941) 360-1566
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-14
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Frequently asked questions
- What is Radiance Anesthesia's NPI number?
- Radiance Anesthesia's National Provider Identifier (NPI) is 1194381236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Radiance Anesthesia?
- Radiance Anesthesia is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Radiance Anesthesia located?
- Radiance Anesthesia's practice location on file with NPPES is 577 Mulberry St Ste 110, Macon, GA 31201-8220.
- What is Radiance Anesthesia's phone number?
- The practice phone number listed in the NPPES registry for Radiance Anesthesia is (240) 469-2179.
- Does Radiance Anesthesia accept Medicare?
- Radiance Anesthesia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Radiance Anesthesia?
- The authorized official listed on Radiance Anesthesia's NPPES record is Richard Douberly, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Radiance Anesthesia's NPI active?
- Yes — Radiance Anesthesia's NPI (1194381236) is active in the NPPES registry as of the last update on 2021-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.