Capitol Anesthesiology, PC
Organization Active NPI Anesthesiology Physician · Morrow, GA
NPI 1245287192 · NPPES record last updated Jan 10, 2013
Key facts
- NPI
- 1245287192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CAPITOL ANESTHESIOLOGY, PC
- Practice address
- 6649 Lake Dr
Morrow, GA 30260-2354 - Phone
- (770) 968-9978
- Fax
- (770) 968-9975
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Jan Kersey
- Title
- Administrator
- Phone
- (770) 968-9978
Practitioners 124
-
James M Bailey, MD
-
Pritika Bhatia, MD
-
Darryl E Blalock, CRNA
-
Karen F Bonner, PAAA
-
Jason C Colier, PAAA
-
Ashley Cooper, AAC
-
Lynn P Dunaway, PAAA
-
Julian C Gist, CAA
-
Ashwini K. Gupta, MD
-
Reza H Hajkhan, PAAA
-
Jamie Shay Hays, PA, AA-C
-
Rhonda Renee Jackson, M.D.
-
Keith Russell Johnson, M.D.
-
Alisa A. Keats, PAAA
-
Tiffany Deanna Lance, M.D.
-
Philip E Lane, MD
-
Nikova Rashida Mason, M.D.
-
Deborah Ann McClain, M.D.
-
Meena Mehta, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000216 | GA | Part B Supplier - Clinic/Group Practice | 5799774642 |
Receives reassigned benefits from 50 practitioners Practice locations: Atlanta, GA; Fayetteville, GA; Morrow, GA; Stockbridge, GA |
National Provider Directory
Locations
365 E Paces Ferry Rd NE
Atlanta, GA 30305
Phone (404) 814-0868
98 Annex
#618
Atlanta, GA 30398
Phone (770) 473-6000
1336 Highway 54 W
Bldg 400
Fayetteville, GA 30214
Phone (770) 461-1238
156 Foster Dr
Spc C
McDonough, GA 30253
6649 Lake Dr
Morrow, GA 30260
1100 Lake Hearn Dr
Ste 410
Sandy Springs, GA 30342
Phone (404) 252-9991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | GA | Yes |
Addresses
Primary practice location
6649 Lake Dr
Morrow, GA 30260-2354
Mailing address
PO Box 278
Jonesboro, GA 30237-0278
Phone (770) 968-9978
Other providers in Morrow, GA
- C. Alexander Pediatrics LLC
- Tanya Isabel Vieira Cabrita
- Scott J Cahoon
- Evelyn Campbell-Bayaan
- Alicia Canzius
- Care First Private Home Care
- Angela Carmichael
- Diana Carmichael
- Mark Gerard Carmon
- Lashunda Carroll
All providers in Morrow, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.