Organization Active NPI

Gi Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
National Provider Identifier
1326569187
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GI ANESTHESIA OF GEORGIA LLC
Practice address
1955 Textile Way
Gainesville, GA 30501-2543
Phone
(404) 888-7575
NPI assigned
Jul 3, 2017
Last updated
Mar 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mark Gilreath
Title
Ceo
Phone
(404) 888-7575

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1955 Textile Way
Gainesville, GA 30501-2543

Mailing address

PO Box 75449
Chicago, IL 60675-5449
Phone (888) 337-3509

Other practice location 1

5403 Hillandale Park Court
Lithonia, GA 30058-4828
Phone (770) 817-0224

Other practice location 2

150 N Park Trl
Stockbridge, GA 30281-7372
Phone (770) 507-0909

Other practice location 3

1269 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone (770) 922-0505

Other practice location 4

7229 Wheat St NE
Covington, GA 30014-1566
Phone (678) 625-5132

Other practice location 5

226 E College St
Griffin, GA 30224-4348
Phone (678) 987-1490

Other practice location 6

5671 Peachtree Dunwoody Rd
Atlanta, GA 30342-5000
Phone (404) 257-9000

Other practice location 7

340 N Milledge Ave
Athens, GA 30601-3806
Phone (706) 548-0008

Other practice location 8

301 Philip Blvd
Lawrenceville, GA 30046-8745
Phone (770) 822-5560

Other practice location 9

4275 Johns Creek Pkwy
Suwanee, GA 30024-9117
Phone (678) 475-1606

Other practice location 10

550 Peachtree St NE
Atlanta, GA 30308-2212
Phone (404) 881-1094

Other practice location 11

1200 Lower Fayetteville Rd
Newnan, GA 30265-1133
Phone (678) 631-4610

Other practice location 12

8855 Hospital Dr
Douglasville, GA 30134-2256
Phone (678) 784-5020

Other practice location 13

900 Towne Lake Pkwy
Woodstock, GA 30189-1602
Phone (770) 926-5459

Other practice location 14

11315 Johns Creek Pkwy
Johns Creek, GA 30097-2645
Phone (770) 227-2222

Other practice location 15

2675 N Decatur Rd
Decatur, GA 30033-6131
Phone (404) 299-1679

Other practice location 16

1139 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 303-4200

Other practice location 17

488 Kennesaw Ave NW
Marietta, GA 30060-9409
Phone (770) 427-3075

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102000283 GA Part B Supplier - Clinic/Group Practice 0446516769 Receives reassigned benefits from 483 practitioners
Practice locations: Lawrenceville, GA; Lithonia, GA; Marietta, GA; Newnan, GA; Riverdale, GA; Savannah, GA; Stockbridge, GA; Suwanee, GA…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

340 N Milledge Ave
Athens, GA 30601
Phone 7065480008 ext. 5911

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

11315 Johns Creek Pkwy
Johns Creek, GA 30097

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

150 N Park Trl
Stockbridge, GA 30281
Phone (770) 507-0909

4275 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 475-1606

Practitioners & affiliated clinicians

Practitioners 489

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.

View all 489

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1326569187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75449",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755449",
            "telephone_number": "888-337-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 TEXTILE WAY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012543",
            "telephone_number": "404-888-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5403 Hillandale Park Court",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300584828",
            "country_code": "US",
            "telephone_number": "770-817-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Park Trl",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817372",
            "country_code": "US",
            "telephone_number": "770-507-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1269 Wellbrook Cir NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123873",
            "country_code": "US",
            "telephone_number": "770-922-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7229 Wheat St NE",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300141566",
            "country_code": "US",
            "telephone_number": "678-625-5132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 E College St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244348",
            "country_code": "US",
            "telephone_number": "678-987-1490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5671 Peachtree Dunwoody Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303425000",
            "country_code": "US",
            "telephone_number": "404-257-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 N Milledge Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306013806",
            "country_code": "US",
            "telephone_number": "706-548-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Philip Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468745",
            "country_code": "US",
            "telephone_number": "770-822-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4275 Johns Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300249117",
            "country_code": "US",
            "telephone_number": "678-475-1606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Peachtree St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082212",
            "country_code": "US",
            "telephone_number": "404-881-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Lower Fayetteville Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651133",
            "country_code": "US",
            "telephone_number": "678-631-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8855 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342256",
            "country_code": "US",
            "telephone_number": "678-784-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Towne Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301891602",
            "country_code": "US",
            "telephone_number": "770-926-5459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11315 Johns Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300972645",
            "country_code": "US",
            "telephone_number": "770-227-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 N Decatur Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336131",
            "country_code": "US",
            "telephone_number": "404-299-1679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1139 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314045502",
            "country_code": "US",
            "telephone_number": "912-303-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "488 Kennesaw Ave NW",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609409",
            "country_code": "US",
            "telephone_number": "770-427-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GI ANESTHESIA OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "GILREATH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-888-7575"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.