Nicole Casseday, PAAA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

006967 Issued in GA

Practice address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone

(770) 963-9905

Fax

(770) 962-9814

NPI assigned

Sep 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Wirbiezcas Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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.

• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• North Atlanta Anesthesia Professionals, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1982349296
  Medicare reassignment NPD
• Physician Specialists in Anesthesia, P.C.

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1316968662

  Anesthesiologist Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1639505258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333551420",
            "telephone_number": "866-507-5244",
            "fax_number": "954-858-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467694",
            "telephone_number": "770-963-9905",
            "fax_number": "770-962-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSEDAY",
        "first_name": "NICOLE",
        "credential": "PAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "006967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WIRBIEZCAS",
            "credential": "PAAA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daisha Cartwright, BCBA
• Kareen E Carty-Davy, NP-C
• Simy Casasola
• Cindy Mae Casebeer, BCBA
• Cindy Grisel Casias, LPC
• Murtaza Cassoobhoy, MD
• Amy E. Castaline
• Alicia Castellano, MS, CCC-SLP
• Ramon Elias Castillo Perez, CMI: SPANISH
• Leigh Anne Castleberry

• Anesthesiologist Assistant in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.