Bobbi J Koblasz, AAC

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

005463 Issued in GA

Practice address

1000 Johnson Ferry Rd
Atlanta, GA 30342

Phone

(770) 645-9181

NPI assigned

Dec 2, 2008

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 identifiers 1

Other names 1

• Bobbi J Bourland Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Atlanta Anesthesia Professionals, LLCGroup PAC ID 5496134348, 543 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008

Medicare enrollment (NPD)

Enrolled

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.

• North Atlanta Anesthesia Professionals, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1982349296
  Medicare reassignment Care Compare group NPD
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Anesthesiologist Assistant

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1649425869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 N POINT PKWY STE F100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055495",
            "telephone_number": "770-645-9181"
        },
        {
            "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": "30342",
            "telephone_number": "770-645-9181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Kemble Ave",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204211",
            "country_code": "US",
            "telephone_number": "800-232-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOBLASZ",
        "first_name": "BOBBI",
        "middle_name": "J",
        "credential": "AAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "005463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231252198B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOBBI",
            "last_name": "BOURLAND",
            "middle_name": "J",
            "credential": "AAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Ko, PHARMD
• Laura Ko, PHARMD
• Ketevan Kobaidze, MD
• Miwako Kobayashi
• Elizabeth Kobe, D.O.
• Mary Augusta Koblasz, RN, CNS
• Lisa Kobrynski, MD
• Sheelah Lynne Koch-Cochran, OTR/L
• David Donald Koch, PHD
• Heather Koch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.

Verify at the official NPI Registry.