NPIMap

Organization Active NPI

West Ga. Nurse Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Carrollton, GA
National Provider Identifier
1275722845
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WEST GA. NURSE ANESTHESIA, LLC
Practice address
105 Park Place Way
Suite 100
Carrollton, GA 30117-1960
Phone
(770) 832-1444
Fax
(770) 830-0990
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mrs. Kay W. Lee
Title
Office Manager
Phone
(770) 832-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

105 Park Place Way
Suite 100
Carrollton, GA 30117-1960

Mailing address

105 Park Place Way
Suite 100
Carrollton, GA 30117-1960
Phone (770) 832-1444

National Provider Directory

National Provider Directory

Locations

105 Park Place Way
Ste 100
Carrollton, GA 30117
Phone (770) 832-1444

105 Park Place Way
Ste 1000
Carrollton, GA 30117
Phone (770) 832-1444

150 Clinic Ave
Carrollton, GA 30117
Phone (770) 834-0873

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1275722845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PARK PLACE WAY",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171960",
            "telephone_number": "770-832-1444",
            "fax_number": "770-830-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PARK PLACE WAY",
            "address_2": "SUITE 100",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301171960",
            "telephone_number": "770-832-1444",
            "fax_number": "770-830-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GA. NURSE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-832-1444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.