Organization Active NPI

Teakay Merit, Inc.

  • Anesthesiology Physician
  • Athens, GA
National Provider Identifier
1063112431
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TEAKAY MERIT, INC.
Practice address
195 King Ave
Athens, GA 30606-6736
Phone
(706) 543-6261
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Trina Juzang, MDNPI 1043288400
Title
Ceo
Phone
(770) 330-2969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

195 King Ave
Athens, GA 30606-6736

Mailing address

1852 Patrick Rd
Dacula, GA 30019-1106
Phone (770) 330-2969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1063112431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 PATRICK RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191106",
            "telephone_number": "770-330-2969",
            "fax_number": "888-550-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KING AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066736",
            "telephone_number": "706-543-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAKAY MERIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "JUZANG",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-330-2969",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.