Individual provider Active NPI

Michael Kirk Chastain, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1225461973
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN252524 Issued in GA
Practice address
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone
(678) 216-0771
NPI assigned
Aug 16, 2013
Last updated
Dec 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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 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

IdentifierTypeStateIssuer
422329200MedicaidMD
041040400MedicaidDC
1225461973MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160328001795 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163652355 Reassigns benefits to 8 organizations
I20210119002706 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163652355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
Capital Anesthesia Solutions of Kentucky LLCGroup PAC ID 0446681548, 37 clinicians
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

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

LicenseStateTypeSpecialty
RN252524GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Kentucky LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 17, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 26, 2023 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 28, 2015 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Mar 19, 2018 Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2023 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Mar 1, 2023 Accepting new patients
Piedmont Anesthesia LLC CurrentSince Sep 2, 2025 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince May 27, 2019 Accepting new patients
Digestive Healthcare of Ga, P.C. PastSince Jul 1, 2022 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.