NPIMap

Organization Active NPI

Sweet Dreams Nurse Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1649463365
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
SWEET DREAMS NURSE ANESTHESIA, INC.
Practice address
4080 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3901
Phone
(888) 728-0882
Fax
(888) 512-1507
NPI assigned
Aug 27, 2007
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Jared Deraney, CRNA
Title
Ceo
Phone
(480) 482-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

4080 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3901

Mailing address

PO Box 850001 Dept 740T
Orlando, FL 32885-4380
Phone (941) 360-1566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000111 GA Part B Supplier - Clinic/Group Practice 5294823266 Receives reassigned benefits from 83 practitioners
Practice locations: Valdosta, GA; Albany, GA; Thomasville, GA; Thomaston, GA; Swainsboro, GA; Macon, GA; Lagrange, GA; Jesup, GA…

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

390 1st Ave NE
Cairo, GA 39828
Phone (229) 377-1689

811 22nd St
Columbus, GA 31904
Phone (706) 323-1054

3527 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 247-2290

Practitioners & affiliated clinicians

Practitioners 98

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 98

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1649463365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 740T",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328854380",
            "telephone_number": "941-360-1566",
            "fax_number": "941-358-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053901",
            "telephone_number": "888-728-0882",
            "fax_number": "888-512-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET DREAMS NURSE ANESTHESIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "DERANEY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-482-0934",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.