Individual provider Active NPI

Nebiyu D Muleta

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1538775473
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
246913 Issued in GA
Practice address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone
(404) 438-2463
NPI assigned
Sep 16, 2020
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 246913 GA Primary

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Mailing address

3681 Terrasol TRL SW
Lilburn, GA 30047-2335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201201001173 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426469156 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
246913GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute of Georgia, LLC CurrentSince Feb 1, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 21, 2020 Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Feb 1, 2025 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Dec 2, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 21, 2020 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Feb 1, 2025 Accepting new patients
North Atlanta Anesthesia Professionals, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1357 Oconee Connector
Ste 102
Watkinsville, GA 30677
Phone 6783448900156

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1538775473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 TERRASOL TRL SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-438-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULETA",
        "first_name": "NEBIYU",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "246913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.