Organization Active NPI

Greater Anesthesia Services LLC

  • Specialist
  • Conyers, GA
National Provider Identifier
1518128289
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
052931 Issued in GA
Legal business name
GREATER ANESTHESIA SERVICES LLC
Practice address
1388 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872
Phone
(770) 929-9033
Fax
(770) 929-9092
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Victoria Beck
Title
Cfo
Phone
(404) 403-8310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 052931 GA Primary

Addresses

Primary practice location

1388 Wellbrook Cir NE
Suite a
Conyers, GA 30012-3872

Mailing address

PO Box 11407 Dept 2319
Birmingham, AL 35246-2319
Phone (770) 929-9033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080930000033 GA Part B Supplier - Clinic/Group Practice 7810064029 Receives reassigned benefits from 2 practitioners
Practice locations: Conyers, GA

National Provider Directory

National Provider Directory

Locations

3390 Peachtree Rd NE
Ste 150
Atlanta, GA 30326

15 Medical Dr NE
Ste 302
Cartersville, GA 30121
Phone (678) 337-3163

1388 Wellbrook Cir NE
Ste 1500
Conyers, GA 30012

1338A Wellbrook Cir
Conyers, GA 30012

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

110 Evans Mill Dr
Ste 803
Dallas, GA 30157
Phone (770) 920-4950

4799 Sugarloaf Pkwy
Bldg 110
Lawrenceville, GA 30044

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1518128289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT 2319",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462319",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIR NE",
            "address_2": "SUITE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-403-8310"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "052931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.