Peter A. Beverly, CRNA

Key facts

NPI

1114180239

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

RN127632 (GA)

Practice address

303 Parkway Drive NE
PMB 404
Atlanta, GA 30312-1212

Phone

(404) 265-4424

Fax

(404) 265-3894

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

Organizations & group practices 29

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.

• Ahs Anesthesia LLC Certified Registered Nurse Anesthetist · Smyrna, GA · NPI 1316214604
  Medicare reassignment Care Compare group NPD GA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Perimeter Anesthesia LLC Anesthesiology Physician · Canton, GA · NPI 1922402445
  Medicare reassignment Care Compare group NPD GA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Ahs Surgery Center Canton LLC Ambulatory Surgical Clinic/Center · Canton, GA · NPI 1225457948
  Medicare reassignment NPD GA
• Anesthesia Solutions of Georgia LLC Certified Registered Nurse Anesthetist · Canton, GA · NPI 1093035677
  Medicare reassignment NPD GA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Atlanta Anesthesia Consultants LLC Certified Registered Nurse Anesthetist · Cumming, GA · NPI 1487928370
  Medicare reassignment NPD GA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Atlanta Hand Specialist Surgery Center LLC Ambulatory Surgical Clinic/Center · Smyrna, GA · NPI 1285912923
  Medicare reassignment NPD GA
• Avvc Anesthesia, LLC Medical Specialty Clinic/Center · Lawrenceville, GA · NPI 1982074431
  Medicare reassignment NPD GA
• Carpus Surgery Center LLC Ambulatory Surgical Clinic/Center · Marietta, GA · NPI 1568864452
  Medicare reassignment NPD GA
• CSP Anesthesia LLC Anesthesiology Physician · Canton, GA · NPI 1568946812
  Medicare reassignment NPD GA
• Lunate Surgery Center Ambulatory Surgical Clinic/Center · Sandy Springs, GA · NPI 1932709490
  Medicare reassignment NPD GA
• Mulkey Anesthesiology Associates LLC Anesthesiology Physician · Austell, GA · NPI 1417288069
  Medicare reassignment NPD GA
• Northlake Anesthesia Professionals, LLC Anesthesiology Physician · Atlanta, GA · NPI 1982637419
  Medicare reassignment NPD GA
• Radius Surgery Center LLC Ambulatory Surgical Clinic/Center · Lawrenceville, GA · NPI 1215302906
  Medicare reassignment NPD GA
• Sleep Ezzy Pain Medicine (Anesthesiology) Physician · Lawrenceville, GA · NPI 1154852820
  Medicare reassignment NPD GA
• Ulna Surgery Center LLC Ambulatory Surgical Clinic/Center · Johns Creek, GA · NPI 1881147965
  Medicare reassignment NPD GA
• Alliance Surgery Center at Augusta, LLC Ambulatory Surgical Clinic/Center · Augusta, GA · NPI 1841672615
  NPD
• Avvsc Lawrenceville, LLC Ambulatory Surgical Clinic/Center · Lawrenceville, GA · NPI 1427435007
  NPD
• Interventional Spine and Pain Management Ambulatory Surgical Center Ambulatory Surgical Clinic/Center · Conyers, GA · NPI 1750420147
  NPD
• Woodhams Laser & Lens Implant Center LLC Ambulatory Surgical Clinic/Center · Atlanta, GA · NPI 1093748527
  NPD
• Alpharetta Eye Surgery Center LLC Ambulatory Surgical Clinic/Center · Alpharetta, GA · NPI 1164938825
  NPD (past)
• Buford Eye Surgery Center Ambulatory Surgical Clinic/Center · Buford, GA · NPI 1609285386
  NPD (past)
• Dekalb Anesthesia Associates, P a Anesthesiology Physician · Decatur, GA · NPI 1528004538
  NPD (past)
• Fayette Community Anesthesia Anesthesiology Physician · Atlanta, GA · NPI 1144220245
  NPD (past)
• Forsyth Eye Surgery Center, LLC Ambulatory Surgical Clinic/Center · Cumming, GA · NPI 1649746090
  NPD (past)
• Georgia Interventional Pain - C, LLC Ambulatory Surgical Clinic/Center · Cumming, GA · NPI 1497105803
  NPD (past)

View all 29

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of South Carolina School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perimeter Anesthesia LLC (16 clinicians)
Ahs Anesthesia LLC (7 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 32)

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 12, 2010.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1114180239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932925",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932925",
            "telephone_number": "800-364-9216",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DRIVE NE",
            "address_2": "PMB 404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "404-265-4424",
            "fax_number": "404-265-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVERLY",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN127632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1114180239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670634888F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "670634888E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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