Individual provider Active NPI

Peter A. Beverly, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1114180239
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN127632 Issued in 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
Last updated
Nov 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2010

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 RN127632 GA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 932925
Atlanta, GA 31193-2925
Phone (800) 364-9216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000294 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345315362 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 2567763048, 16 clinicians
Ahs Anesthesia LLCGroup PAC ID 7911169925, 7 clinicians

Practice addresses (Care Compare)

3193 Howell Mill Rd NW
Suite 317
Atlanta, GA 30327-2100
Phone 88840802002

3968 Felton Hill SWRD
Suite 110
Smyrna, GA 30082-3522
Phone (770) 333-7888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Woodhams Laser & Lens Implant Center LLC CurrentSince Apr 1, 2018 Accepting new patients
Sleep Ezzy CurrentSince Jun 3, 2021 Accepting new patients
Radius Surgery Center LLC CurrentSince Mar 30, 2018 Accepting new patients
Ahs Surgery Center Canton LLC CurrentSince Mar 30, 2018 Accepting new patients
Atlanta Hand Specialist Surgery Center LLC CurrentSince Mar 30, 2018 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 12, 2018 Accepting new patients
Mulkey Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Avvsc Lawrenceville, LLC CurrentSince Jul 2, 2023 Accepting new patients
Atlanta Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Carpus Surgery Center LLC CurrentSince Mar 30, 2018 Accepting new patients
CSP Anesthesia LLC CurrentSince Oct 22, 2019 Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Jun 16, 2018 Accepting new patients
Alliance Surgery Center at Augusta, LLC CurrentSince Jun 16, 2018 Accepting new patients
Ulna Surgery Center LLC CurrentSince Mar 30, 2018 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Lunate Surgery Center CurrentSince Jun 27, 2022 Accepting new patients
Avvc Anesthesia, LLC CurrentSince Apr 1, 2018 Accepting new patients
Northlake Anesthesia Professionals, LLC CurrentSince Aug 1, 2009 Accepting new patients
Fayette Community Anesthesia Past Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients
Kare ASC, LLC PastSince Dec 9, 2019 Accepting new patients
Piedmont Anesthesia Associates, L.L.C Past Accepting new patients
Georgia Interventional Pain - C, LLC PastSince Jun 3, 2021 Accepting new patients
Dekalb Anesthesia Associates, P a Past Accepting new patients
Buford Eye Surgery Center Past Accepting new patients
Forsyth Eye Surgery Center, LLC Past Accepting new patients
Roswell Eye Surgery Center, LLC PastSince Dec 28, 2015 Accepting new patients
Canton Eye Surgery Center PastSince Jun 3, 2015 Accepting new patients

Locations (25 of 32)

2555 Westside Pkwy
Ste 325
Alpharetta, GA 30004

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

3193 Howell Mill Rd NW
Ste 317
Atlanta, GA 30327
Phone (404) 603-9090

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

60 Peachtree Park Dr NE
#200
Atlanta, GA 30309
Phone (678) 369-6934

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 732-3649

3870 Medical Park Dr
Ste 100
Austell, GA 30106

3870 Medical Park Dr
Ste 1500
Austell, GA 30106

1995 Mall of Georgia Blvd
Ste C
Buford, GA 30519
Phone 67838120201022

201 Kimberly Way
Ste 100
Canton, GA 30114

201 Kimberly Way
Ste 104
Canton, GA 30114

1388 Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

1200 Bald Ridge Marina Rd
Ste 160
Cumming, GA 30041

970 Sanders Rd
Ste 100
Cumming, GA 30041

10730 Medlock Bridge Rd
Ste 210
Johns Creek, GA 30097

1250 Scenic Hwy
Ste 1600
Lawrenceville, GA 30045

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

600 Professional Dr
Ste 150
Lawrenceville, GA 30046
Phone (678) 376-1800

600 Professional Dr
Ste 160A
Lawrenceville, GA 30046
Phone (678) 878-4555

600 Professional Dr
Ste 160B
Lawrenceville, GA 30046
Phone (678) 878-4555

892 Legacy Park Dr
Lawrenceville, GA 30043

1400 Veterans Memorial Hwy SE
Ste 134
Mableton, GA 30126
Phone (404) 254-6696

3775 Roswell Rd
Ste 175
Marietta, GA 30062

3775 Roswell Rd
Ste 275
Marietta, GA 30062

Organizations & group practices 30

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

View all 30

NPI Registry JSON

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

{
    "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": [],
    "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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.