Active NPI
WWS Innovations, LLC
- Certified Registered Nurse Anesthetist
- Woodstock, GA
National Provider Identifier
1487915658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- WWS INNOVATIONS, LLC
- Practice address
- 2001 Professional Way
Suite 270
Woodstock, GA 30188-6442 - Phone
- (770) 926-0771
- Fax
- (770) 926-9321
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl R Noback, MD
- Title
- Medical Director
- Phone
- (888) 337-3509
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
2001 Professional Way
Suite 270
Woodstock, GA 30188-6442
Mailing address
PO Box 864825
Orlando, FL 32886-0001
Phone (888) 337-3509
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1972562080
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gainesville, GA
- NPI 1376502567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338854400000",
"number": "1487915658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864825",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328860001",
"telephone_number": "888-337-3509",
"fax_number": "941-328-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PROFESSIONAL WAY",
"address_2": "SUITE 270",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886442",
"telephone_number": "770-926-0771",
"fax_number": "770-926-9321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WWS INNOVATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2012-06-05",
"status": "A",
"authorized_official_last_name": "NOBACK",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "888-337-3509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.