Active NPI
John G Bojack, CRNA
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN098960
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-0000 - Phone
- (770) 277-3056
- Fax
- (855) 204-5244
- NPI assigned
- Jun 22, 2006
- Last updated
- Apr 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R098960 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN098960 | GA | Primary |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-0000
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00550547E | Medicaid | GA | |
| 000550547E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Wayne State University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
771 Old Norcross Rd
Suite 135
Lawrenceville, GA 30046-4978
Phone (678) 689-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R098960 | GA | MD | Certified Registered Nurse Anesthetist |
| RN098960 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SG Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ingram Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Walton Anesthesia Associates, PC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Georgia, LLC | Current | Accepting new patients | |
| Aaoc Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Sleep and Sinus Centers ASC, LLC | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
2100 North Ave
Columbus, GA 31904
Phone (706) 243-0624
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1990 Riverside Pkwy
Lawrenceville, GA 30043
Phone (678) 306-2212
763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994
771 Old Norcross Rd
Ste 135
Lawrenceville, GA 30046
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIHJBA
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1578827069
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Athens, GA
- NPI 1073767182
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Lawrenceville, GA
- NPI 1053750646
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Monroe, GA
- NPI 1265642946
-
- Ambulatory Surgical Clinic/Center
- Lawrenceville, GA
- NPI 1194261834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1033155544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "800-243-3839",
"fax_number": "954-839-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300460000",
"telephone_number": "770-277-3056",
"fax_number": "855-204-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOJACK",
"first_name": "JOHN",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "R098960",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN098960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00550547E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000550547E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.