Organization Active NPI

Stellar Ambulatory Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1346612009
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
STELLAR AMBULATORY ANESTHESIA CONSULTANTS, LLC
Practice address
1150 Hammond Dr
BLDG E, Suite 600
Atlanta, GA 30328-5334
Phone
(770) 516-1775
Fax
(770) 516-8768
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Timothy Griner, MD
Title
Owner
Phone
(678) 230-7914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1150 Hammond Dr
BLDG E, Suite 600
Atlanta, GA 30328-5334

Mailing address

3254 Twisted Branches LN
Marietta, GA 30068-2479
Phone (770) 516-1775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1346612009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3254 TWISTED BRANCHES LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682479",
            "telephone_number": "770-516-1775",
            "fax_number": "770-516-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR",
            "address_2": "BLDG E, SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285334",
            "telephone_number": "770-516-1775",
            "fax_number": "770-516-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR AMBULATORY ANESTHESIA CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "GRINER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-230-7914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Oct 21, 2015; 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.