Phoenix Anesthesia, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PHOENIX ANESTHESIA, LLC

Practice address

304 Mead Rd
Decatur, GA 30030-3625

Phone

(678) 592-6633

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Jannine Deraney

Title

Administrator

Phone

(678) 592-6633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jannine Gundersen Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Peachtree City, GA
  • NPI 1073625588

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1346645140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MEAD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MEAD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303625",
            "telephone_number": "678-592-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "DERANEY",
        "authorized_official_first_name": "JANNINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-592-6633"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip G Walton DDS PC
• Albert Leon Phillips Jr.
• Cody Wayne Phillips, PA-C
• Laurence Wilson Phillips
• Ruth Philogene, RN
• Phoenix Family Resource Center
• Bradley C Phoenix, MD
• Phyllis Williams, LMFT, PC
• Physical Wellness Group, LLC
• Physio

• Certified Registered Nurse Anesthetist in Decatur, GA
• Providers in Decatur, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.