NPIMap

Organization Active NPI

North Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1457716516
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NORTH PERIMETER ANESTHESIA LLC
Practice address
1100 Johnson Ferry Road
Suite 200
Atlanta, GA 30342-2073
Phone
(678) 977-1753
NPI assigned
Dec 16, 2015
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Myra C Stamps, MDNPI 1861489791
Title
President
Phone
(404) 236-2405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1100 Johnson Ferry Road
Suite 200
Atlanta, GA 30342-2073

Mailing address

PO Box 117471
Atlanta, GA 30368-7471
Phone (678) 977-1753

Other practice location 1

775 Lake Summit Dr
Sandy Springs, GA 30342-1971
Phone (678) 460-7762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330000560 GA Part B Supplier - Clinic/Group Practice 4486951845 Receives reassigned benefits from 52 practitioners
Practice locations: Smyrna, GA; Roswell, GA; Johns Creek, GA; Fayetteville, GA; Braselton, GA; Atlanta, GA; Alpharetta, GA; Cumming, GA

National Provider Directory

National Provider Directory

Locations

3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000

3200 Downwood Cir NW
Atlanta, GA 30327
Phone (404) 351-0051

460 Northside Cherokee Blvd
Ste 390
Canton, GA 30115

755 Mount Vernon Hwy NE
Ste 240
Sandy Springs, GA 30328
Phone (404) 459-3224

5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050

Practitioners & affiliated clinicians

Practitioners 90

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 90

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1457716516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117471",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687471",
            "telephone_number": "678-977-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY ROAD",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422073",
            "telephone_number": "678-977-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Lake Summit Dr",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303421971",
            "country_code": "US",
            "telephone_number": "678-460-7762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH PERIMETER ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "STAMPS",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-236-2405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.