Su Yung Anderson, PA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

002713 Issued in GA

Practice address

1870 Independence SQ
Suite D
Dunwoody, GA 30338-5155

Phone

(770) 396-6190

Fax

(770) 396-5541

NPI assigned

May 24, 2006

Last updated

Oct 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ambulatory Anesthesia Alliance of Ga LLCGroup PAC ID 9133114234, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts, Physician Assistant

State licenses

Practice roles

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.

• Ambulatory Anesthesia Alliance of Ga LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1386737393
  Medicare reassignment Care Compare group
• Fayette Community Anesthesia

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1144220245
  NPD (past)
• Northlake Anesthesia Professionals, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1982637419
  NPD (past)
• Piedmont Anesthesia Associates, L.L.C

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1407856594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1023063476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 ELMWOOD DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303063644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 INDEPENDENCE SQ",
            "address_2": "SUITE D",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385155",
            "telephone_number": "770-396-6190",
            "fax_number": "770-396-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "SU",
        "middle_name": "YUNG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchor Point Home Care LLC
• Anchored & Whole Wellness, LLC
• John G Anderson, CRNA
• Jonielle Monet Anderson, PMHNP-BC
• Shamika Anderson
• Steven Michael Andrews
• Anna Gray Therapy, LLC
• Anne-Marie Campbell, LLC
• Kenneth Anokye, PHARM D
• Amir Antonios, MD

• Anesthesiologist Assistant in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.