Individual provider Active NPI

John Albert Milner, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverdale, GA
National Provider Identifier
1306993357
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
052060 Issued in NC
Practice address
6555 Professional PL Ste B
Riverdale, GA 30274-4903
Phone
(770) 996-5959
Fax
(770) 692-2994
NPI assigned
Jan 4, 2007
Last updated
May 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 052060 NC Primary

Addresses

Primary practice location

6555 Professional PL Ste B
Riverdale, GA 30274-4903

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 347-1053

Other practice location 1

408 Rammel Oaks
Avondale Estates, GA 30002-1170
Phone (404) 748-4410

Other practice location 2

4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (770) 692-0100

Other identifiers 1

IdentifierTypeStateIssuer
8052493MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000031 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880765148 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052060NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Sleep Ezzy CurrentSince Jun 24, 2018 Accepting new patients
Southcare Anesthesia Services, LLC CurrentSince Aug 27, 2018 Accepting new patients
Georgia Interventional Pain - D LLC Past Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered PastSince Apr 23, 2023 Accepting new patients
Ahp of Dekalb LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered PastSince Jul 4, 2017 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3825 Medical Park Dr
Ste 300
Austell, GA 30106
Phone (770) 941-4810

484 Irvin Ct
Ste 130
Decatur, GA 30030

455 Philip Blvd
#100
Lawrenceville, GA 30046
Phone (844) 469-4936

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

892 Legacy Park Dr
Lawrenceville, GA 30043

1357 Hembree Rd
Ste 230
Roswell, GA 30076
Phone (770) 740-9664

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1306993357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1053",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 PROFESSIONAL PL STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744903",
            "telephone_number": "770-996-5959",
            "fax_number": "770-692-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Rammel Oaks",
            "address_purpose": "LOCATION",
            "city": "Avondale Estates",
            "state": "GA",
            "postal_code": "300021170",
            "country_code": "US",
            "telephone_number": "404-748-4410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4865 Bill Gardner Pkwy",
            "address_purpose": "LOCATION",
            "city": "Locust Grove",
            "state": "GA",
            "postal_code": "302483644",
            "country_code": "US",
            "telephone_number": "770-692-0100",
            "fax_number": "770-692-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "052060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052493",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.