NPIMap

Organization Active NPI

Tri-County Anesthesia, LLC

  • Anesthesiology Physician
  • Douglasville, GA
National Provider Identifier
1073687422
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TRI-COUNTY ANESTHESIA, LLC
Practice address
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone
(770) 920-6420
NPI assigned
Nov 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joel Koppenhaver
Title
President Billing Services
Phone
(770) 874-5490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

8954 Hospital Dr
Douglasville, GA 30134-2272

Mailing address

PO Box 281491
Atlanta, GA 30384-1491
Phone (770) 874-5400

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 73

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 73

NPI Registry JSON

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073687422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281491",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841491",
            "telephone_number": "770-874-5400",
            "fax_number": "770-874-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342272",
            "telephone_number": "770-920-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOPPENHAVER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT BILLING SERVICES",
        "authorized_official_telephone_number": "770-874-5490"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.