Active NPI
Thomas Bank Rudi, CAA
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322-1059 - Phone
- (404) 778-3482
- NPI assigned
- May 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Mailing address
4401 Reserve Dr NE
Brookhaven, GA 30319-5920
Phone (404) 889-3499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210915000309 | GA | Practitioner - Anesthesiology Assistant | 1759787880 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic IncPiedmont Anesthesia LLCRockdale Anesthesia Services, P.C.Emory Specialty Associates, LLC
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1612 Milstead Rd NE
Suite B
Conyers, GA 30012-3738
Phone (770) 388-7745
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
Hospital & facility affiliations
- Emory University Hospital
- Piedmont Rockdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Rockdale Anesthesia Services, P.C. | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1612 Milstead Rd NE
#B
Conyers, GA 30012
Phone (770) 388-7745
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
GA
-
- Ambulatory Surgical Clinic/Center
- Lagrange, GA
- NPI 1285912600
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1295748531
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1306472063
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1346403854
-
- Ambulatory Surgical Clinic/Center
- Jonesboro, GA
- NPI 1386165504
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1811765902
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1013591619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 RESERVE DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303195920",
"telephone_number": "404-889-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-778-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDI",
"first_name": "THOMAS",
"middle_name": "BANK",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.