NPIMap

Organization Active NPI

Athens Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Athens, TN
National Provider Identifier
1649229014
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ATHENS ANESTHESIA ASSOCIATES, INC.
Practice address
1114 W Madison Ave
Athens, TN 37303-4150
Phone
(423) 745-1411
NPI assigned
May 10, 2006
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. Russell E Long, CRNANPI 1548247430
Title
President
Phone
(423) 424-3695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1114 W Madison Ave
Athens, TN 37303-4150

Mailing address

PO Box 220
Athens, TN 37371-0220
Phone (423) 424-3695

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060927000040 TN Part B Supplier - Clinic/Group Practice 2961407895 Receives reassigned benefits from 12 practitioners
Practice locations: Etowah, TN; Athens, TN

National Provider Directory

National Provider Directory

Locations

105 N Meadows Dr
Athens, TN 37303
Phone (423) 649-3300

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1649229014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373710220",
            "telephone_number": "423-424-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W MADISON AVE",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034150",
            "telephone_number": "423-745-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS ANESTHESIA ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-424-3695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.