Individual provider Active NPI

Estella Lee Mobley, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1558320358
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN110117 Issued in GA
Practice address
550 Peachtree Street
Suite 1600
Atlanta, GA 30308-2209
Phone
(404) 253-6820
Fax
(404) 874-1249
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN110117 GA Primary

Addresses

Primary practice location

550 Peachtree Street
Suite 1600
Atlanta, GA 30308-2209

Mailing address

3120 Buckboard TRL
Dept 1029
Stone Mountain, GA 30087-4057
Phone (770) 722-9762

Other identifiers 1

IdentifierTypeStateIssuer
0005567731MedicaidGA

Other names 1

  • Estella Reed Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000484 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375515836 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

2131 Fountain Dr
Snellville, GA 30078-7024
Phone (770) 702-1806

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN110117GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jun 1, 2013 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince May 18, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Jun 1, 2017 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jun 1, 2013 Accepting new patients
Anesthesia Consultants of Georgia, LLC CurrentSince Feb 21, 2017 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Aug 14, 2017 Accepting new patients
Xenon Anesthesia of Georgia LLC CurrentSince Dec 31, 2016 Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

6464 W Sunset Blvd
Ste 790
Los Angeles, CA 90028

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

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505

7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132

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

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

3400 McClure Bridge Rd
Ste A102
Duluth, GA 30096
Phone (917) 621-6854

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

1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

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

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558320358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BUCKBOARD TRL",
            "address_2": "DEPT 1029",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300874057",
            "telephone_number": "770-722-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082209",
            "telephone_number": "404-253-6820",
            "fax_number": "404-874-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "ESTELLA",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN110117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005567731",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELLA",
            "last_name": "REED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; 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.