Organization Active NPI

Monroe Anesthesia Services

  • Anesthesiology Physician
  • Winder, GA
National Provider Identifier
1255482550
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MONROE ANESTHESIA SERVICES
Practice address
316 N Broad St
Winder, GA 30680-2150
Phone
(770) 929-5858
NPI assigned
Jan 15, 2007
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Morrison Jacquitte, MD.
Title
Owner
Phone
(770) 929-5858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

316 N Broad St
Winder, GA 30680-2150

Mailing address

PO Box 724928
Atlanta, GA 31139-9028
Phone (770) 929-5858

Other identifiers 1

IdentifierTypeStateIssuer
GRP7961OtherGAMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1255482550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724928",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311399028",
            "telephone_number": "770-929-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802150",
            "telephone_number": "770-929-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE ANESTHESIA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "JACQUITTE",
        "authorized_official_first_name": "MORRISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-929-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP7961",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.