Ambulatory Anesthesia of North Georgia, LLC
Organization Active NPI Anesthesiology Physician · Gainesville, GA
NPI 1497870562 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1497870562
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- AMBULATORY ANESTHESIA OF NORTH GEORGIA, LLC
- Practice address
- 1488 Jesse Jewell Pkwy SE
Suite 100
Gainesville, GA 30501-3803 - Phone
- (770) 532-7179
- Fax
- (770) 534-1312
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Teena Stinespring
- Title
- Credentialing Coordinator
- Phone
- (770) 532-7179
Practitioners 190
-
Joshua Ades, CRNA
-
Quinton Ananthasane, CAA
-
Jessica John-Finn Aubin, CRNA
-
Audrey Avila, M.D.
-
David Ray Bailey Jr., M.D.
-
Jessica Beck, CAA
-
Lorie Davis Bender, PA-AA
-
Alana Boling-Aldaco, CRNA
-
Mark Robert Bombulie, M.D.
-
Anthony Brenner, MD
-
Andrew Bryant, AA
-
Lawrence E Bullard Jr., MD, PHD
-
Kaitlin Byrd, AAC
-
Hannah Cain, CAA
-
Michael Carroll, M.D.
-
Nancy Chen, M.D.
-
Nathan Drew City, D.O.
-
Rachel Clifton, CAA
-
Zachary Colbaugh, M.D.
-
Epris Pittman Cooper, CRNA
-
Jordan Cordova, CAA
-
Ronald Craig Cox, AA
-
Christian Cravey, AA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051229000181 | GA | Part B Supplier - Clinic/Group Practice | 9931121332 |
Receives reassigned benefits from 159 practitioners Practice locations: Gainesville, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
1488 Jesse Jewell Pkwy SE
Suite 100
Gainesville, GA 30501-3803
Mailing address
1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804
Phone (770) 532-7179
Other providers in Gainesville, GA
- Amanda Cain, MD, PC
- Sankhya Kriti Amaravadi
- Jana Amber
- Ambit Hearing Aid Centers
- Ambulance Service Management, LLC
- Haval Abdulkareem Amedi
- Amedisys Georgia, L.L.C.
- Azez Amen
- Philippa Nkiru Amene
- America'S Best Contacts & Eyeglasses
All providers in Gainesville, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.