Glga Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

GLGA ANESTHESIA LLC

Practice address

1250 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3871

Phone

(770) 297-7277

Fax

(678) 450-3761

NPI assigned

Oct 9, 2018

Last updated

May 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Nickell

Title

Cfo

Phone

(706) 623-6699

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Specialty Spine and Pain PC

  • Specialist
  • Gainesville, GA
  • NPI 1447359112

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1467927038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 EXPERIMENT STATION RD UNIT 529",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306775378",
            "telephone_number": "706-623-6699",
            "fax_number": "706-850-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE STE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-297-7277",
            "fax_number": "678-450-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 Lanier Islands Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305181802",
            "country_code": "US",
            "telephone_number": "770-297-7277",
            "fax_number": "678-450-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLGA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "NICKELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-623-6699"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gisness, MD
• John Lee Givogre, M.D.
• Annabeth Kathryn Glasper, BCBA
• Andrew George Bernard Glass, MD
• Oliver Mathew Glass, M.D.
• John V Glisson, MD
• Henry Grady Goble, D.D.S.
• Itzelis Del Carmen Godreau, PHARM.D
• Candace Godwin
• Anthony Dhiantie Goei, MD

• Certified Registered Nurse Anesthetist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.