Active NPI
Gloria Chaffin
- Anesthesiologist Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67.000341
- Practice address
- 677 Church St NE
Marietta, GA 30060-1101 - Phone
- (770) 794-0477
- Fax
- (770) 794-3108
- NPI assigned
- Jul 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | GA | ||
| Anesthesiologist Assistant | 367H00000X | 67.000341 | OH | Primary |
Addresses
Primary practice location
677 Church St NE
Marietta, GA 30060-1101
Mailing address
4922 Starville Rd
China, MI 48054-3021
Phone (404) 210-5504
Other practice location 1
146 Bill Carruth Pkwy
Hiram, GA 30141-3749
Phone (770) 794-0477
Other practice location 2
531 Roselane St NW
Suite 830
Marietta, GA 30060-6913
Phone (770) 794-0477
Other practice location 3
2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 794-0477
Other practice location 4
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 794-0477
Other practice location 5
4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561
Other practice location 6
3330 Meijer Dr
Toledo, OH 43617-3103
Phone (419) 578-2020
Other practice location 7
135 S Prospect St
Ypsilanti, MI 48198-7914
Phone (734) 547-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0853956 | Other | BCBS MI PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5959 Monclova Rd
Maumee, OH 43537-1888
Phone (419) 893-5911
620 Byron Rd
Howell, MI 48843-1002
Phone (517) 545-6316
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 58.12
- Improvement activities
- 40
- Cost
- 68.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.63 of 100
- Quality
- 23.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Ann Arbor, PLLC | Current | Accepting new patients | |
| A4 of Ohio, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Toledo Clinic Incorporated | Past | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5A
Ann Arbor, MI 48105
Phone (734) 786-2317
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
135 S Prospect St
Ypsilanti, MI 48198
Phone (734) 547-1060
5959 Monclova Rd
Maumee, OH 43537
Phone (419) 251-3740
4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214
3330 Meijer Dr
#1
Toledo, OH 43617
Phone (419) 578-5020
3330 Meijer Dr
Toledo, OH 43617
Phone (419) 539-6323
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
-
- Podiatrist
- Sylvania, OH
- NPI 1952097073
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1336339035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 STARVILLE RD",
"city": "CHINA",
"state": "MI",
"postal_code": "480543021",
"telephone_number": "404-210-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 CHURCH ST NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601101",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108"
}
],
"practiceLocations": [
{
"address_1": "146 Bill Carruth Pkwy",
"address_purpose": "LOCATION",
"city": "Hiram",
"state": "GA",
"postal_code": "301413749",
"country_code": "US",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "531 Roselane St NW",
"address_2": "Suite 830",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300606913",
"country_code": "US",
"telephone_number": "770-794-0477",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2540 Windy Hill Rd SE",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300678605",
"country_code": "US",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8954 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301342272",
"country_code": "US",
"telephone_number": "770-794-0477",
"fax_number": "770-794-3108",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4235 Secor Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436234299",
"country_code": "US",
"telephone_number": "419-473-3561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3330 Meijer Dr",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436173103",
"country_code": "US",
"telephone_number": "419-578-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 S Prospect St",
"address_purpose": "LOCATION",
"city": "Ypsilanti",
"state": "MI",
"postal_code": "481987914",
"country_code": "US",
"telephone_number": "734-547-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAFFIN",
"first_name": "GLORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-29",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67.000341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI PIN",
"identifier": "0853956",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.