New London Anesthesia & Pain Consultants PC
Organization Active NPI Anesthesiology Physician · Snellville, GA
NPI 1396854485 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1396854485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Judy F. Chesin
- Title
- Administrator
- Phone
- (770) 979-9996
Practitioners 73
-
Ola Marie Benz, CRNA
-
Greer G Connelly, AA
-
Keith D Craig, M.D.
-
Jennifer Dixon, AA
-
Amber Marie Edward, CRNA
-
Annabel Rosado Flunker, A.A.
-
Eric Hamilton, M.D.
-
Benjamin L Hicks, PAA
-
Lakasia Patrice Hill, CRNA
-
Alisa C Horsford, MD
-
Yi-Ching Hsu, PA-AA
-
Wayne Goode Hutchens, M.D.
-
Andy James, CRNA
-
Michael T Kissel, M.D.
-
Mary Lynscheft Lehner, C.R.N.A.
-
Tamara Lynn Marshall, P.A.A.A.
-
Philip Kent Miller, PA-C, AA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
6335 Hospital Pkwy
Ste 313
Johns Creek, GA 30097
Phone (678) 474-7246
2161 Scenic Hwy N
Snellville, GA 30078
Phone (770) 979-9996
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | GA | Yes | |
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | GA | ||
| Certified Registered Nurse Anesthetist |
367500000X | GA | ||
| Anesthesiologist Assistant |
367H00000X | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156416500 | Other | GA | DEPT. OF LABOR |
| CI0147 | Other | GA | RAILROAD MEDICARE |
Other providers in Snellville, GA
- Ronia Nevels
- New Beginnings Counseling & Consulting, LLC
- New Beginnings Health Care Staffing LLC
- New Horizons Family Clinic
- New Life Home Care, Inc.
- New Snellville Clinic
- Nandi Newby
- Noelle Marie Newsome
- Nex-US Health LLC
- Next Step Up Corp
All providers in Snellville, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.