NPIMap

Individual provider Active NPI

Paul P Serdula, CRNA

  • Certified Registered Nurse Anesthetist
  • Austell, GA
National Provider Identifier
1104889799
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN137631 Issued in GA
Practice address
3950 Austell Rd
Austell, GA 30106
Phone
(770) 732-3649
Fax
(770) 732-3648
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN137631 GA Primary

Addresses

Primary practice location

3950 Austell Rd
Austell, GA 30106

Mailing address

PO Box 155
Austell, GA 30168-1002
Phone (770) 732-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Management Services LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ambulatory Anesthesia Alliance of Ga LLC PastSince Jan 1, 2013 Accepting new patients
Georgia Anesthesiologists, PC Past Accepting new patients
Tri-County Anesthesia, LLC Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Atlanta Surgery Center LTD Past Accepting new patients
Novamed Management Services LLC Past Accepting new patients
Cobb Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104889799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681002",
            "telephone_number": "770-732-3649",
            "fax_number": "770-732-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-732-3649",
            "fax_number": "770-732-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERDULA",
        "first_name": "PAUL",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN137631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.