Active NPI
Judy B Ricks, CRNA
- Certified Registered Nurse Anesthetist
- Snellville, GA
National Provider Identifier
1376522532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN40616
- Practice address
- 2710 Shoemaker LN
Snellville, GA 30039-8097 - Phone
- (678) 344-7023
- Fax
- (770) 985-9744
- NPI assigned
- Jan 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN40616 | GA | Primary |
Addresses
Primary practice location
2710 Shoemaker LN
Snellville, GA 30039-8097
Mailing address
2710 Shoemaker LN
Snellville, GA 30039-8097
Phone (678) 344-7023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00665046A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040616 | GA | MD | Internal Medicine Physician |
| RN40616 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Past | Accepting new patients | |
| Ahpm of Georgia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Progressive Anesthesia Consultants, LLC | Past | Accepting new patients |
Organizations & group practices 4
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
- Atlanta, GA
- NPI 1467400481
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Duluth, GA
- NPI 1114265758
Nurse Anesthetist, Certified Registered
-
- Inpatient Hospice
- Atlanta, GA
- NPI 1578611638
-
- Anesthesiology Physician
- East Point, GA
- NPI 1114996600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376522532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 SHOEMAKER LN",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300398097",
"telephone_number": "678-344-7023",
"fax_number": "770-985-9744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SHOEMAKER LN",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300398097",
"telephone_number": "678-344-7023",
"fax_number": "770-985-9744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "JUDY",
"middle_name": "B",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN40616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00665046A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.