Active NPI
Katherine Atkinson Mann
- Certified Registered Nurse Anesthetist
- Blue Ridge, GA
National Provider Identifier
1538230420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN040017
- Practice address
- 11 Overview Dr
Blue Ridge, GA 30513-6611 - Phone
- (706) 258-4040
- Fax
- (706) 258-4041
- NPI assigned
- Nov 13, 2006
- Last updated
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN040017 | GA | Primary |
Addresses
Primary practice location
11 Overview Dr
Blue Ridge, GA 30513-6611
Mailing address
PO Box 69
Blue Ridge, GA 30513-0002
Phone (706) 258-4040
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 342304 | Other | GA | WELLCARE |
| 52054224-001 | Other | GA | BLUE CROSS GEORGIA |
| 430028175 | Other | GA | RAILROAD MEDICARE |
| 10039402 | Other | GA | AMERIGROUP |
| 4600549 | Medicaid | TN | |
| 00481863B | Medicaid | GA | |
| 8050156 | Medicaid | NC |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN040017 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Chatuge Regional Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Chatuge Medical Group
- Internal Medicine Physician
- Hiawassee, GA
- NPI 1265811962
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1538230420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305130002",
"telephone_number": "706-258-4040",
"fax_number": "706-258-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 OVERVIEW DR",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136611",
"telephone_number": "706-258-4040",
"fax_number": "706-258-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "KATHERINE",
"middle_name": "ATKINSON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN040017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "342304",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GEORGIA",
"identifier": "52054224-001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430028175",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10039402",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4600549",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00481863B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050156",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.