NPIMap

Organization Active NPI

Gi Alliance Anesthesia of Florida, PLLC

  • Certified Registered Nurse Anesthetist
  • Atlantis, FL
National Provider Identifier
1053030619
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GI ALLIANCE ANESTHESIA OF FLORIDA, PLLC
Practice address
5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637
Phone
(561) 964-8221
NPI assigned
Aug 25, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Brandi Wheeler
Title
Anesthesia Support Services Coordin
Phone
(817) 402-7526

Specialties & licenses 1

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

Addresses

Primary practice location

5401 S Congress Ave Ste 211
Atlantis, FL 33462-6637

Mailing address

550 Reserve St Ste 560
Southlake, TX 76092-1607
Phone (817) 402-7526

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230318000105 FL Part B Supplier - Clinic/Group Practice 3476927203 Receives reassigned benefits from 32 practitioners
Practice locations: Lake Worth, FL

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

550 Reserve St
Ste 560
Southlake, TX 76092

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1053030619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RESERVE ST STE 560",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921607",
            "telephone_number": "817-402-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CONGRESS AVE STE 211",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626637",
            "telephone_number": "561-964-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GI ALLIANCE ANESTHESIA OF FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ANESTHESIA SUPPORT SERVICES COORDIN",
        "authorized_official_telephone_number": "817-402-7526"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.