Active NPI
Nasser Sane, PAAA
- Anesthesiologist Assistant
- Morrow, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 002586
- Practice address
- 6649 Lake Dr
Morrow, GA 30260-2354 - Phone
- (770) 968-9978
- Fax
- (770) 968-9975
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 002586 | GA | Primary |
Addresses
Primary practice location
6649 Lake Dr
Morrow, GA 30260-2354
Mailing address
PO Box 278
Jonesboro, GA 30237-0278
Phone (770) 968-9978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 534 | Other | GA | NCCAA CERT NUMBER |
| 002586 | Other | GA | STATE PA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002586 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 000818 | GA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Northside Anesthesiology Consultants, LLC | Past | Accepting new patients | |
| Peachtree Orthopaedic Surgery Center-North, LLC | Past | Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1083600308
-
- Ambulatory Surgical Clinic/Center
- Cumming, GA
- NPI 1093389421
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1568557569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 278",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302370278",
"telephone_number": "770-968-9978",
"fax_number": "770-968-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6649 LAKE DR",
"city": "MORROW",
"state": "GA",
"postal_code": "302602354",
"telephone_number": "770-968-9978",
"fax_number": "770-968-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANE",
"first_name": "NASSER",
"credential": "PAAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "002586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCAA CERT NUMBER",
"identifier": "534",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PA LICENSE",
"identifier": "002586",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrow, GA
- Sacred Wombs Doula Services LLC (Sacred Wombs Doula Services)
- Sam's Club Optical (Sam's Club Optical 30-8287)
- Sams East Inc (Sams Pharmacy 10-8287)
- Katrina Samuels
- Jarvis Jeffrey Sanchez-Rivera, M.D.
- Susan Sanner, APRN-FNP
- Arlene Santiago
- Scott Michael Sciranka, DC
- Tina Scott
- Sharon Lee Scurry, CERTIFIED NURSE AIDE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.