Active NPI
Michael W. Hurst, PAAA
- Anesthesiologist Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2564
- Practice address
- 2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665 - Phone
- (678) 574-0943
- Fax
- (678) 574-0943
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2564 | GA | Primary |
Addresses
Primary practice location
2550 Windy Hill Rd SE
Suite 302
Marietta, GA 30067-8665
Mailing address
3155 N Point Pkwy
Attn: Credentialing Dept, Building F, Suite 100
Alpharetta, GA 30005
Phone (770) 645-9181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002545D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806
Hospital & facility affiliations
- Wellstar Cobb Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2564 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia of Atlanta, P C | Past | Accepting new patients | |
| Georgia Anesthesiologists, PC | Past | Accepting new patients | |
| Henry Anesthesia Associates LLC | Past | Accepting new patients | |
| Fayette Community Anesthesia | Past | Accepting new patients |
Locations
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200
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.
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1164418489
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1144220245
-
- Anesthesiology Physician
- Woodstock, GA
- NPI 1740299197
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1447229943
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austell, GA
- NPI 1467420448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221696000000",
"number": "1184612293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "ATTN: CREDENTIALING DEPT, BUILDING F, SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"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": "2550 WINDY HILL RD SE",
"address_2": "SUITE 302",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678665",
"telephone_number": "678-574-0943",
"fax_number": "678-574-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "MICHAEL",
"middle_name": "W.",
"credential": "PAAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2008-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "2564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002545D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.