NPIMap

Organization Active NPI

Northside Anesthesiology Consultants, LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1083600308
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC
Practice address
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone
(954) 939-5000
Fax
(877) 250-6889
NPI assigned
Sep 22, 2005
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Karen Vaughn
Title
Officer
Phone
(404) 450-4684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Mailing address

PO Box 744184
Atlanta, GA 30374-4184
Phone (954) 939-5000

National Provider Directory

National Provider Directory

Locations

11975 Morris Rd
Ste 125
Alpharetta, GA 30005
Phone (404) 297-9000

3400 Old Milton Pkwy
Ste 170
Alpharetta, GA 30005

120 Oakside Ct
Canton, GA 30114
Phone (404) 459-1838

320 Hospital Rd
Ste B
Canton, GA 30114
Phone (770) 479-5535

470 Northside Cherokee Blvd
Ste 250
Canton, GA 30115
Phone (404) 459-1838

2000 Howard Farm Dr
Ste T100
Cumming, GA 30041
Phone (470) 839-9200

1100 Johnson Fy Rd NE
Ste 180
Sandy Springs, GA 30342
Phone (404) 250-6691

5505 Peachtree Dunwoody Rd
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-0170

5505 Peachtree Dunwoody Rd
Ste 900
Sandy Springs, GA 30342
Phone (404) 593-2858

5670 Peachtree Dunwoody Rd
Ste 900
Sandy Springs, GA 30342
Phone (404) 459-1809

5670 Peachtree Dunwoody Rd
Ste 950
Sandy Springs, GA 30342
Phone (404) 459-1809

5673 Peachtree Dunwoody Rd
Ste 945
Sandy Springs, GA 30342
Phone (404) 297-1334

Practitioners & affiliated clinicians

Practitioners 106

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 106

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1083600308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744184",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "954-939-5000",
            "fax_number": "877-250-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ANESTHESIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-450-4684"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 12, 2025; 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.