Individual provider Active NPI

David D Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1124219076
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN078001 Issued in GA
Practice address
1509 Gilstrap LN NW
Atlanta, GA 30318-2775
Phone
(404) 210-8886
Fax
(678) 620-2242
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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 RN078001 GA Primary

Addresses

Primary practice location

1509 Gilstrap LN NW
Atlanta, GA 30318-2775

Mailing address

1509 Gilstrap LN NW
Atlanta, GA 30318-2775
Phone (404) 210-8886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071120000558 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052409331 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN078001GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
GSG Anesthesia, LLC CurrentSince Feb 1, 2022 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2014 Accepting new patients
Anesthesia Consultants of Georgia, LLC CurrentSince Dec 1, 2014 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2014 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jan 1, 2015 Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Pain and Spine Solutions, LLC Past Accepting new patients

Locations

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

721 Wellness Way
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-7923

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1124219076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 GILSTRAP LN NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182775",
            "telephone_number": "404-210-8886",
            "fax_number": "770-696-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 GILSTRAP LN NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182775",
            "telephone_number": "404-210-8886",
            "fax_number": "678-620-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN078001",
            "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 Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.