Individual provider Active NPI

Suzanne Michelle Wester

  • Certified Registered Nurse Anesthetist
  • Jefferson, GA
National Provider Identifier
1205834231
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN183826 Issued in GA
Practice address
1340 Traditions Way
Jefferson, GA 30549-7992
Phone
(706) 654-3704
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP29561722 FL
Certified Registered Nurse Anesthetist 367500000X RN183826 GA Primary

Addresses

Primary practice location

1340 Traditions Way
Jefferson, GA 30549-7992

Mailing address

1340 Traditions Way
Jefferson, GA 30549-7992
Phone (706) 654-3704

Other identifiers 2

IdentifierTypeStateIssuer
306039000MedicaidFL
G2985OtherFLBCBS OF FL

Other names 1

  • Suzanne Michelle Schodtler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000393 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779686167 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP29561722FLMDCertified Registered Nurse Anesthetist
RN183826GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 19, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2021 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2021 Accepting new patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2013 Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Anesthesia Associates of Dunedin Past Accepting new patients
Gwinnett Anesthesia Service PC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1205834231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 TRADITIONS WAY",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305497992",
            "telephone_number": "706-654-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 TRADITIONS WAY",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305497992",
            "telephone_number": "706-654-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTER",
        "first_name": "SUZANNE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP29561722",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN183826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306039000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "G2985",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "SCHODTLER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.