NPIMap

Organization Active NPI

Ambulatory Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1578052189
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
AMBULATORY ANESTHESIA ASSOCIATES, LLC
Practice address
9190 Huntcliff Trce
Atlanta, GA 30350-1736
Phone
(561) 573-0672
Fax
(602) 595-6041
NPI assigned
May 9, 2018
Last updated
May 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Shennyn KolowichNPI 1649387705
Title
President/Owner
Phone
(561) 573-0672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

9190 Huntcliff Trce
Atlanta, GA 30350-1736

Mailing address

9190 Huntcliff Trce
Atlanta, GA 30350-1736
Phone (561) 573-0672

National Provider Directory

National Provider Directory

Locations

218 Sandy Springs Pl
Ste A
Sandy Springs, GA 30328
Phone (404) 257-0611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1578052189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 HUNTCLIFF TRCE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501736",
            "telephone_number": "561-573-0672",
            "fax_number": "602-595-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 HUNTCLIFF TRCE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501736",
            "telephone_number": "561-573-0672",
            "fax_number": "602-595-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY ANESTHESIA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "KOLOWICH",
        "authorized_official_first_name": "SHENNYN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "561-573-0672"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.