NPIMap

Organization Active NPI

Northside Cherokee Anesthesia Associates

  • Anesthesiology Physician
  • Canton, GA
National Provider Identifier
1356428304
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTHSIDE CHEROKEE ANESTHESIA ASSOCIATES
Practice address
220 Hospital Rd
Canton, GA 30114-2407
Phone
(770) 479-2202
Fax
(770) 720-4508
NPI assigned
Nov 1, 2006
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Quintin G Gates, MD
Title
President
Phone
(770) 720-1063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

220 Hospital Rd
Canton, GA 30114-2407

Mailing address

PO Box 5448
Canton, GA 30114-0036
Phone (770) 720-1063

National Provider Directory

National Provider Directory

Locations

220 Hospital Rd
Canton, GA 30114
Phone (770) 479-2202

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1356428304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5448",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140036",
            "telephone_number": "770-720-1063",
            "fax_number": "770-720-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HOSPITAL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142407",
            "telephone_number": "770-479-2202",
            "fax_number": "770-720-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CHEROKEE ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-720-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.