First Source Anesthesia, LLC
NPI 1558728907 · Certified Registered Nurse Anesthetist · Macon, GA
First Source Anesthesia, LLC is a Certified Registered Nurse Anesthetist organization in Macon, GA (NPI 1558728907).
Provider details
- NPI number
- 1558728907
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Richard Douberly, Member Manager(888) 728-0882
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
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 4080 Mcginnis Ferry RdSuite 102Alpharetta, GA 30005Phone: (888) 728-0882Fax: (888) 512-1507
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2020-08-14
- Certified
- 2020-08-14
Frequently asked questions
- What is First Source Anesthesia, LLC's NPI number?
- First Source Anesthesia, LLC's National Provider Identifier (NPI) is 1558728907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is First Source Anesthesia, LLC?
- First Source Anesthesia, LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is First Source Anesthesia, LLC located?
- First Source Anesthesia, LLC's practice location on file with NPPES is 577 Mulberry St Ste 110, Macon, GA 31201-8220.
- What is First Source Anesthesia, LLC's phone number?
- The practice phone number listed in the NPPES registry for First Source Anesthesia, LLC is (888) 728-0882.
- Who is the authorized official for First Source Anesthesia, LLC?
- The authorized official listed on First Source Anesthesia, LLC's NPPES record is Richard Douberly, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is First Source Anesthesia, LLC's NPI active?
- Yes — First Source Anesthesia, LLC's NPI (1558728907) is active in the NPPES registry as of the last update on 2020-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.