Active NPI
Angela Michelle Marquis, AA-C
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1558794875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 1605
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342-1606 - Phone
- (770) 645-9181
- Fax
- (770) 645-5120
- NPI assigned
- Aug 11, 2013
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 1605 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Mailing address
3155 N Point Pkwy
F 100
Alpharetta, GA 30005-5481
Phone (770) 645-9181
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1605 | GA | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1558794875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "F 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055481",
"telephone_number": "770-645-9181",
"fax_number": "770-645-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "770-645-9181",
"fax_number": "770-645-5120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUIS",
"first_name": "ANGELA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "1605",
"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 Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.