Enti Anesthesia, LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

ENTI ANESTHESIA, LLC

Practice address

1595 Highway 34 E
Newnan, GA 30265-2353

Phone

(678) 206-2202

Fax

(678) 673-5155

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey M Gallups, MDNPI 1851471866

Title

Ceo

Phone

(770) 740-1860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jeffrey M Gallups, M.D.

  • Specialist
  • Alpharetta, GA
  • NPI 1851471866
  Authorized official Same address or phone

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1366858185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 OLD MILTON PKWY",
            "address_2": "SUITE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092140",
            "telephone_number": "770-740-1860",
            "fax_number": "678-347-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652353",
            "telephone_number": "678-206-2202",
            "fax_number": "678-673-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTI ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GALLUPS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-740-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF ORGANIZATION",
            "identifier": "14063148",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Kerry Elliott, DC
• John Ellis IV
• Kylie Alyssa Ellis, APRN
• Emeritus Corporation (Brookdale Newnan)
• Empyrean Hospice of Georgia, LLC
• Enti Surgery Center LLC
• Envision Optics LLC (My EyeLab)
• Amari Ephraim, RBT
• Salman Ali Eraj, MD
• Jay Alan Erdman, M.D.

• Facial Plastic Surgery Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Facial Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.