Individual provider Active NPI

Pamela Abercrombie Weigandt, MD

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1144218843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
51609 Issued in GA
Practice address
993 Johnson Ferry Rd NE
Suite 300
Atlanta, GA 30342-1620
Phone
(678) 574-0943
Fax
(678) 574-0943
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 51609 GA Primary

Addresses

Primary practice location

993 Johnson Ferry Rd NE
Suite 300
Atlanta, GA 30342-1620

Mailing address

200 Mansell CT E
Attn: Credentialing Dept, Suite 105
Roswell, GA 30076-4856
Phone (770) 645-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000230 GA Practitioner - Anesthesiology 7719909506 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51609GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Aug 14, 2017 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Feb 4, 2017 Accepting new patients
Georgia Anesthesiologists, PC Anesthesiology Past Accepting new patients
Metro West Anesthesia Anesthesiology Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Anesthesiology Past Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810

1635 Old Highway 41 NW
Ste 112328
Kennesaw, GA 30152
Phone (770) 732-3664

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

Organizations & group practices 6

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144218843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MANSELL CT E",
            "address_2": "ATTN: CREDENTIALING DEPT, SUITE 105",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764856",
            "telephone_number": "770-645-9181",
            "fax_number": "770-645-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FERRY RD NE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "678-574-0943",
            "fax_number": "678-574-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGANDT",
        "first_name": "PAMELA",
        "middle_name": "ABERCROMBIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "51609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.