Ruby Blaza Bhavani, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Atlanta, GA

NPI 1548409253 · NPPES record last updated Feb 23, 2024

Key facts

NPI
1548409253
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RN150534 (GA)
Practice address
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone
(770) 645-9181
Fax
(770) 645-8455
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialist of Georgia (35 clinicians)
Gi Anesthesia of Georgia LLC (117 clinicians)

Practice addresses (Care Compare)

2550 Windy Hill Rd SE
Suite 307
Marietta, GA 30067-8655
Phone (678) 741-5000

900 Towne Lake Pkwy
Suite 310
Woodstock, GA 30189-1604
Phone (770) 926-5459

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100 (apm)
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090519000026 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193874394 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialist of Georgia Current
since Apr 22, 2024
Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered Current
since Nov 1, 2021
Accepting new patients

Locations

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317

2550 Windy Hill Rd SE
Ste 307
Marietta, GA 30067
Phone (770) 953-1414

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

118 Mill St
Ste 100
Woodstock, GA 30188
Phone (678) 741-2317

900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN150534 GA Yes

Addresses

Primary practice location

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606

Mailing address

3155 N Point Pkwy
Building F, Suite 100
Alpharetta, GA 30005-5481
Phone (770) 645-9181

Other providers in Atlanta, GA

All providers in Atlanta, GA · Certified Registered Nurse Anesthetist in Georgia

Sources for this page

Verify at the official NPI Registry.