Individual provider Active NPI

Nyala Becky Azangue

  • Certified Registered Nurse Anesthetist
  • Covington, GA
National Provider Identifier
1013785146
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN230501 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(404) 428-0608
NPI assigned
Dec 18, 2023
Last updated
Dec 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN230501 GA Primary

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

3778 Broadleaf Walk
Snellville, GA 30039-6052
Phone (404) 428-0608

Other practice location 1

3778 Broadleaf Walk
Snellville, GA 30039-6052
Phone (404) 428-0608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129002270 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103279922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone 7707021806210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentry Anesthesia Management, LLC CurrentSince Jan 17, 2024 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince May 1, 2024 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince May 1, 2024 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1013785146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 BROADLEAF WALK",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396052",
            "telephone_number": "404-428-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "404-428-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3778 Broadleaf Walk",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300396052",
            "country_code": "US",
            "telephone_number": "404-428-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZANGUE",
        "first_name": "NYALA",
        "middle_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN230501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2025; 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.

Verify at the official NPI Registry.