Individual provider Active NPI

Clifton Gunter III, PA-AA

  • Anesthesiologist Assistant
  • Atlanta, GA
National Provider Identifier
1285680249
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
002562 Issued in GA
Practice address
1984 Peachtree Rd. NW
Ste. 515
Atlanta, GA 30309-1281
Phone
(404) 351-1745
Fax
(404) 351-7121
NPI assigned
May 25, 2006
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002562 GA
Anesthesiologist Assistant 367H00000X 002562 GA Primary

Addresses

Primary practice location

1984 Peachtree Rd. NW
Ste. 515
Atlanta, GA 30309-1281

Mailing address

827 W. Ponce de Leon Ave
Decatur, GA 30030-2859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000016 GA Practitioner - Anesthesiology Assistant 2062400070 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
2562GAMDClinical Social Worker
002562GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC CurrentSince Sep 1, 2019 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Jul 1, 2015 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Feb 5, 2020 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Concordia Anesthesiology, Inc CurrentSince May 16, 2024 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Dec 1, 2019 Accepting new patients
Georgia Anesthesiologists, PC CurrentSince Apr 13, 2022 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Aug 1, 2018 Accepting new patients
Georgia Group Services, LLC CurrentSince Sep 1, 2019 Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

3200 Downwood Cir NW
Ste 400
Atlanta, GA 30327
Phone (404) 351-0500

3200 Downwood Cir NW
Ste 670
Atlanta, GA 30327
Phone (404) 352-4500

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

200 N River St
Claxton, GA 30417
Phone (912) 739-2611

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

605 S Veterans Blvd
Glennville, GA 30427
Phone (912) 354-4800

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1014 Forsyth St
Macon, GA 31201
Phone (478) 633-5800

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

888 Pine St
Macon, GA 31201
Phone (478) 751-0527

531 Roselane St NW
Ste 830
Marietta, GA 30060
Phone (770) 658-9739

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

13040 Abercorn St
Ste 2
Savannah, GA 31419
Phone (912) 920-1998

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4720 Waters Ave
Savannah, GA 31404
Phone (912) 350-4800

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1285680249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 W. PONCE DE LEON AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 PEACHTREE RD. NW",
            "address_2": "STE. 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091281",
            "telephone_number": "404-351-1745",
            "fax_number": "404-351-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNTER",
        "first_name": "CLIFTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002562",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002562",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 20, 2015; 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.