NPIMap

Organization Active NPI

Fayette Community Anesthesia

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1144220245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
FAYETTE COMMUNITY ANESTHESIA
Practice address
1984 Peachtree Rd NW
Suite 515
Atlanta, GA 30309-1298
Phone
(404) 351-1745
NPI assigned
Jul 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mike Kolesar
Title
Practice Administrator
Phone
(404) 351-1745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X GA Primary

Addresses

Primary practice location

1984 Peachtree Rd NW
Suite 515
Atlanta, GA 30309-1298

Mailing address

PO Box 7836
Marietta, GA 30065-1836
Phone (678) 202-2060

National Provider Directory

National Provider Directory

Locations

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

Practitioners & affiliated clinicians

Practitioners 120

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144220245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7836",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300651836",
            "telephone_number": "678-202-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 PEACHTREE RD NW",
            "address_2": "SUITE 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091298",
            "telephone_number": "404-351-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COMMUNITY ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLESAR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-351-1745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.