Active NPI
John-Henry Lipian, AA
- Anesthesiologist Assistant
- Saint Marys, GA
National Provider Identifier
1194952697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 005587
- Practice address
- 2000 Dan Proctor Dr
Saint Marys, GA 31558-3810 - Phone
- (912) 567-6200
- NPI assigned
- Jun 11, 2009
- 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 | 005587 | GA | Primary |
Addresses
Primary practice location
2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Mailing address
6605 Abercorn St
Suite 108
Savannah, GA 31405-5815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090713000000 | GA | Practitioner - Anesthesiology Assistant | 1951453521 |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1613 N Harrison Pkwy
Suite 200
Sunrise, FL 33323-2853
7700 W Sunrise Blvd
Plantation, FL 33345-4113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Tallahassee Inc | Past | Accepting new patients | |
| Lighthouse Anesthesia LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Savannah, GA
- NPI 1306036561
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1194952697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 ABERCORN ST",
"address_2": "SUITE 108",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 DAN PROCTOR DR",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583810",
"telephone_number": "912-567-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPIAN",
"first_name": "JOHN-HENRY",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-11",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "005587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.