Active NPI
Judith H. Fluellen, M.D.
- Anesthesiology Physician
- Cartersville, GA
National Provider Identifier
1407061377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 029326
- 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, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050314000796 | GA | Practitioner - Anesthesiology | 2860447778 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029326 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Georgia, LLC | Current | 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
- 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.
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- Dallas, GA
- NPI 1023170495
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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
- Christina D Fleschner
- Lucinda Fletcher, LPN
- Samantha Flournoy, PA-C
- Floyd Healthcare Management, Inc (Atrium Health Floyd Urgent Care Cartersville)
- Floyd Healthcare Management, Inc. (AHF Physical therapy & Rehabilitation Gentilly)
- Jacqueline Foley, OT
- Rebecca Folger, LPN
- Tiffany Monet Fondren, PT, DPT
- Rickkial Deann Ford
- Venika V Ford, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.