Individual provider Active NPI

Judith H. Fluellen, M.D.

  • Anesthesiology Physician
  • Cartersville, GA
National Provider Identifier
1407061377
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
029326 Issued in GA
Practice address
401 Terrell Dr
Cartersville, GA 30120-3726
Phone
(770) 386-3745
Fax
(770) 386-3745
NPI assigned
May 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 029326 GA Primary

Addresses

Primary practice location

401 Terrell Dr
Cartersville, GA 30120-3726

Mailing address

401 Terrell Dr
Cartersville, GA 30120-3726
Phone (770) 386-3745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000796 GA Practitioner - Anesthesiology 2860447778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029326GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of Georgia, LLC CurrentSince Dec 21, 2013 Accepting new patients
Paulding Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Pain and Spine Solutions, LLC Past Accepting new patients
Axis Anesthesia Associates PC Anesthesiology Past Accepting new patients
Parkway Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients

Locations

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407061377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TERRELL DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203726",
            "telephone_number": "770-386-3745",
            "fax_number": "770-386-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TERRELL DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203726",
            "telephone_number": "770-386-3745",
            "fax_number": "770-386-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUELLEN",
        "first_name": "JUDITH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "029326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.