Individual provider Active NPI

Nicholle Bridgett Espadron, M.D.

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1205010295
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
000796 Issued in GA
Practice address
1364 Clifton Rd NE
Department of Anesthesiology
Atlanta, GA 30322-1064
Phone
(404) 778-3900
NPI assigned
Dec 26, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 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 000796 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Department of Anesthesiology
Atlanta, GA 30322-1064

Mailing address

1364 Clifton Rd NE
Department of Anesthesiology
Atlanta, GA 30322-1059
Phone (404) 778-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000856 GA Practitioner - Anesthesiology 1557431822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Emory University School of Medicine, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Sep 11, 2019 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Jan 30, 2017 Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients

Locations

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

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

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

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1205010295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221059",
            "telephone_number": "404-778-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221064",
            "telephone_number": "404-778-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPADRON",
        "first_name": "NICHOLLE",
        "middle_name": "BRIDGETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "000796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.