NPIMap

Organization Active NPI

Digestive Health Endoscopy Center

Doing business as All-American Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Fayetteville, NC
National Provider Identifier
1376914283
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
DIGESTIVE HEALTH ENDOSCOPY CENTER
Doing business as
All-American Anesthesia, LLC
Practice address
3202 Boone TRL
Fayetteville, NC 28306
Phone
(910) 323-2477
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Mittie Canady Elliott, BC,CPCS
Title
Operations Manager
Phone
(910) 323-2477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3202 Boone TRL
Fayetteville, NC 28306

Mailing address

PO Box 63256
Charlotte, NC 28263-3256
Phone (910) 323-2477

Other names 1

  • All-American Anesthesia, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105002727 NC Part B Supplier - Clinic/Group Practice 3577717917 Receives reassigned benefits from 10 practitioners
Practice locations: Fayetteville, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
All-American Anesthesia LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3202 Boone Trl
Fayetteville, NC 28306
Phone (910) 223-7011

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1376914283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63256",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633256",
            "telephone_number": "910-323-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 BOONE TRL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28306",
            "telephone_number": "910-323-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTH ENDOSCOPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "MITTIE",
        "authorized_official_middle_name": "CANADY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "910-323-2477",
        "authorized_official_credential": "BC,CPCS"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-American Anesthesia, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "All-American Anesthesia, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.