GSD Anesthesia Providers, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

GSD ANESTHESIA PROVIDERS, LLC

Practice address

3292 Mountain Dr
Decatur, GA 30032-1102

Phone

(404) 294-8180

Fax

(404) 294-8188

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Leslie A Harris, MBA

Title

Manager

Phone

(623) 363-1333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matilda Besong, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, GA
  • NPI 1639399173
  Medicare reassignment NPD
• Kavitha Gopal, M.D.

  • Gastroenterology Physician
  • Decatur, GA
  • NPI 1467613844
  Medicare reassignment NPD
• April Alicia Shelton, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
  • NPI 1730778606
  Medicare reassignment NPD

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1245895614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "404-294-8180",
            "fax_number": "404-294-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSD ANESTHESIA PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-363-1333",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grounded Wellbeing
• Group Homes for the Disabled, L.L.C.
• Growth Rehabilitation LLC
• Joan Grunden, LMSW
• Daniel Joshua Gruskin, M.D.
• Taylor Guelda, PHARMD
• Karen Guerra, SP
• Lisa Guest
• Cameron G Gugliotta
• Bethany Gabrielle Guider, LPC

• Anesthesiology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.