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First Source Anesthesia, LLC

Certified Registered Nurse Anesthetist in Macon, GA · enumerated 2016 · authorized official Richard Douberly, Member Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558728907

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Registry record

Entity type Organization (Type 2)
Legal business name First Source Anesthesia, LLC
Practice address 577 Mulberry St Ste 110, Macon, GA, 31201
Phone (888) 728-0882
Enumeration date Jan 15, 2016
Last updated in NPPES Aug 14, 2020

Taxonomy & classification

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Richard Douberly
Title Member Manager
Phone (888) 728-0882

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is First Source Anesthesia, LLC?
First Source Anesthesia, LLC is registered in NPPES as a Certified Registered Nurse Anesthetist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-14.