Individual provider Active NPI

Sonia W Magambo, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1225350283
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN186361 Issued in GA
Practice address
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone
(770) 645-9181
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN186361 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Mailing address

3155 N Point Pkwy
Building F, Suite 100
Alpharetta, GA 30005-5481
Phone (770) 645-9181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000542 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648307363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone 7707021806210

9930 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30342
Phone 7707021806209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Anesthesia Holdings LLC CurrentSince Jan 18, 2023 Accepting new patients
North Perimeter Anesthesia LLC CurrentSince Mar 21, 2016 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince May 22, 2023 Accepting new patients

Locations

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

3005 Royal Blvd S
Ste 200
Alpharetta, GA 30022
Phone (770) 680-2335

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

10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900

5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1225350283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY",
            "address_2": "BUILDING F, SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055481",
            "telephone_number": "770-645-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "770-645-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGAMBO",
        "first_name": "SONIA",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN186361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.

Verify at the official NPI Registry.