NPIMap

Organization Active NPI

Northside Cherokee Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Canton, GA
National Provider Identifier
1144299629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHSIDE CHEROKEE ANESTHESIA CONSULTANTS, PC
Practice address
201 Hospital Rd
Anesthesia Dept
Canton, GA 30114-2408
Phone
(770) 720-5100
Fax
(770) 720-4508
NPI assigned
Mar 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kevin Haim, MD
Title
President
Phone
(770) 720-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X GA Primary

Addresses

Primary practice location

201 Hospital Rd
Anesthesia Dept
Canton, GA 30114-2408

Mailing address

PO Box 4790
Canton, GA 30114-0230
Phone (770) 720-1063

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144299629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4790",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140230",
            "telephone_number": "770-720-1063",
            "fax_number": "770-720-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOSPITAL RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142408",
            "telephone_number": "770-720-5100",
            "fax_number": "770-720-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CHEROKEE ANESTHESIA CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-720-5100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.