Individual provider Active NPI

Christopher D Hardbeck, PAA

  • Anesthesiologist Assistant
  • Suwanee, GA
National Provider Identifier
1417997586
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
002853 Issued in GA
Practice address
4894 Dovecote TRL
Suwanee, GA 30024-7301
Phone
(678) 546-1171
Fax
(678) 546-1171
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 002853 GA Primary

Addresses

Primary practice location

4894 Dovecote TRL
Suwanee, GA 30024-7301

Mailing address

4894 Dovecote TRL
Suwanee, GA 30024-7301
Phone (678) 546-1171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000701 GA Practitioner - Anesthesiology Assistant 7517038219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
2853GAMDClinical Child & Adolescent Psychologist
002853GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Anesthesia Professionals, LLC CurrentSince Dec 14, 2022 Accepting new patients
Emory Specialty Associates, LLC CurrentSince May 1, 2008 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Apr 1, 2023 Accepting new patients
Anesthesiology Consultants PC Past Accepting new patients
Dekalb Anesthesia Associates, P a Past Accepting new patients
American Anesthesiology Associates of Georgia, LLC Past Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1417997586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 DOVECOTE TRL",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247301",
            "telephone_number": "678-546-1171",
            "fax_number": "678-546-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4894 DOVECOTE TRL",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247301",
            "telephone_number": "678-546-1171",
            "fax_number": "678-546-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDBECK",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "credential": "PAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "002853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.