NPIMap

Organization Active NPI

New London Anesthesia & Pain Consultants PC

  • Anesthesiology Physician
  • Snellville, GA
National Provider Identifier
1396854485
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEW LONDON ANESTHESIA & PAIN CONSULTANTS PC
Practice address
1700 Medical Way
Snellville, GA 30078-2195
Phone
(770) 979-9996
Fax
(770) 979-1202
NPI assigned
Aug 30, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Judy F. Chesin
Title
Administrator
Phone
(770) 979-9996

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X GA
Anesthesiologist Assistant 367H00000X GA
Anesthesiology Physician 207L00000X GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X GA

Addresses

Primary practice location

1700 Medical Way
Snellville, GA 30078-2195

Mailing address

PO Box 3559
Suwanee, GA 30024-0993
Phone (770) 979-9996

Other identifiers 2

IdentifierTypeStateIssuer
CI0147OtherGARAILROAD MEDICARE
156416500OtherGADEPT. OF LABOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000312 GA Part B Supplier - Clinic/Group Practice 7113915950 Receives reassigned benefits from 46 practitioners
Practice locations: Duluth, GA; Tucker, GA; Snellville, GA; Lawrenceville, GA; Johns Creek, GA

National Provider Directory

National Provider Directory

Locations

2161 Scenic Hwy N
Snellville, GA 30078
Phone (770) 979-9996

Practitioners & affiliated clinicians

Practitioners 73

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 73

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396854485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3559",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240993",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782195",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON ANESTHESIA & PAIN CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHESIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-979-9996"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0147",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "156416500",
            "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 21, 2022; 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.