Individual provider Active NPI

Charles Luther

  • Anesthesiologist Assistant
  • Kennesaw, GA
National Provider Identifier
1134485972
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
4295 Country Garden Walk NW
Kennesaw, GA 30152-2399
Phone
(401) 301-7218
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

4295 Country Garden Walk NW
Kennesaw, GA 30152-2399

Mailing address

4295 Country Garden Walk NW
Kennesaw, GA 30152-2399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140107001096 FL Practitioner - Anesthesiology Assistant 6709036304 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Anesthesia Associates LLCGroup PAC ID 4284792706, 79 clinicians
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Delray Beach, FL 33445-6615
Phone (954) 939-5000

4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000

4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807

4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931

4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770

4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750

4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780

4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748

4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jan 13, 2014 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Holy Cross Hospital Inc Current Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Apr 14, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 1, 2014 Accepting new patients
Sheridan Healthcorp Inc CurrentSince Sep 1, 2014 Accepting new patients
St Lucie Anesthesia Associates LLC Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
St. Lucie Anesthesia Associates, LLC CurrentSince Apr 14, 2023 Accepting new patients

Locations

1801 W Sample Rd
Ste 200
Deerfield Beach, FL 33064
Phone (954) 904-0723

4675 Linton Blvd
Delray Beach, FL 33445
Phone (561) 381-4305

4725 N Federal Hwy
#G
Ft Lauderdale, FL 33308
Phone (954) 492-5748

3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

3100 Weston Rd
Weston, FL 33331
Phone (954) 689-5000

Interoperability endpoints

  • Direct secure messaging: cluther3397218@direct.trinity-health.org
  • Direct secure messaging: cluther251924@direct.ccf.org

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1134485972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 COUNTRY GARDEN WALK NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 COUNTRY GARDEN WALK NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522399",
            "telephone_number": "401-301-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTHER",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.