NPIMap

Organization Active NPI

Atlanta Spine and Anesthesia

Doing business as North Fulton Anesthesia Associates, P.C.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1073931408
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
063043 Issued in GA
Legal business name
ATLANTA SPINE AND ANESTHESIA
Doing business as
North Fulton Anesthesia Associates, P.C.
Practice address
6105 Peachtree Dunwoody Rd
BLDG B, Suite 225
Atlanta, GA 30328-5909
Phone
(770) 391-3979
Fax
(770) 391-0020
NPI assigned
Apr 2, 2014
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH FULTON ANESTHESIA ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Dr. Mohammed Shazad Wada, M.D.NPI 1477785186
Title
M.D./Anesthesiologist
Phone
(770) 751-2623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 063043 GA Primary

Addresses

Primary practice location

6105 Peachtree Dunwoody Rd
BLDG B, Suite 225
Atlanta, GA 30328-5909

Mailing address

PO Box 1022
Alpharetta, GA 30009-1022
Phone (770) 751-2623

Other names 1

  • North Fulton Anesthesia Associates, P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Fulton Anesthesia3 organizations share this tax ID, including this one
Part of
North Fulton Anesthesia

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6105 Peachtree Dunwoody Rd
Ste B225
Sandy Springs, GA 30328
Phone (770) 391-3979

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1073931408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091022",
            "telephone_number": "770-751-2623",
            "fax_number": "770-751-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD",
            "address_2": "BLDG B, SUITE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285909",
            "telephone_number": "770-391-3979",
            "fax_number": "770-391-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPINE AND ANESTHESIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FULTON ANESTHESIA ASSOCIATES, P.C.",
        "enumeration_date": "2014-04-02",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "WADA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "SHAZAD",
        "authorized_official_title_or_position": "M.D./ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "770-751-2623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "063043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fulton Anesthesia Associates, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.