Individual provider Active NPI

Alison N Colquitt, AAPA

  • Anesthesiologist Assistant
  • Conyers, GA
National Provider Identifier
1528033982
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
003505 Issued in GA
Practice address
1359 Milstead Rd NE
Suite 103
Conyers, GA 30012-3865
Phone
(770) 388-7745
Fax
(770) 922-0526
NPI assigned
Feb 21, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 003505 GA Primary

Addresses

Primary practice location

1359 Milstead Rd NE
Suite 103
Conyers, GA 30012-3865

Mailing address

PO Box 1078
Conyers, GA 30012-1078
Phone (770) 388-7745

Other identifiers 1

IdentifierTypeStateIssuer
100001305AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
3505GAMDAddiction (Substance Use Disorder) Counselor
003505GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Anesthesia Associates, P a Past Accepting new patients
American Anesthesiology Associates of Georgia, LLC Past Accepting new patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1528033982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300121078",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 MILSTEAD RD NE",
            "address_2": "SUITE 103",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123865",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "ALISON",
        "middle_name": "N",
        "credential": "AAPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "003505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001305A",
            "state": "GA"
        }
    ],
    "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 Nov 19, 2010; 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.