Active NPI
Michael Kirk Chastain, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN252524
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (678) 216-0771
- NPI assigned
- Aug 16, 2013
- Last updated
- Dec 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN252524 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
PO Box 73709
Newnan, GA 30271-3709
Phone (770) 251-2060
Other practice location 1
80 Newnan Station Drive
Newnan, GA 30265
Phone (770) 251-2060 ext. 235
Other practice location 2
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (404) 351-1745
Other practice location 3
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422329200 | Medicaid | MD | |
| 041040400 | Medicaid | DC | |
| 1225461973 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, KY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 679-7441
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-7016
745 Poplar Rd
Newnan, GA 30265-1618
Phone (404) 351-1745
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN252524 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Anesthesia Solutions of Kentucky LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients | |
| Progressive Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Everest Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Concordia Anesthesiology, Inc | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Digestive Healthcare of Ga, P.C. | Past | Accepting new patients |
Locations
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (678) 817-6550
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
80 Newnan Station Dr
Ste A
Newnan, GA 30265
11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Somerset, KY
- NPI 1023665882
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1619296464
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1568158418
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Anesthesiology Physician
- Fayetteville, GA
- NPI 1215225560
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
GA, Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1558365247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
-
dba City of Hope Cancer Center Atlanta
- General Acute Care Hospital
- Newnan, GA
- NPI 1235417288
-
dba Lake Cumberland Regional Hospital
- Rural Acute Care Hospital
- Somerset, KY
- NPI 1619038247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1225461973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73709",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302713709",
"telephone_number": "770-251-2060",
"fax_number": "678-854-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "678-216-0771"
}
],
"practiceLocations": [
{
"address_1": "80 Newnan Station Drive",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "30265",
"country_code": "US",
"telephone_number": "770-251-2060 x235",
"fax_number": "678-854-9235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Highway 54 W",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302144526",
"country_code": "US",
"telephone_number": "404-351-1745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 Poplar Rd",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302651618",
"country_code": "US",
"telephone_number": "770-400-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASTAIN",
"first_name": "MICHAEL",
"middle_name": "KIRK",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-16",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN252524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422329200",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041040400",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225461973",
"state": "VA"
}
],
"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 Dec 6, 2022; 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.