Individual provider Active NPI

Deborah L Noon, CRNA

  • Certified Registered Nurse Anesthetist
  • Hampton, GA
National Provider Identifier
1659349199
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN057610 Issued in GA
Practice address
755 Wilkins Rd
Hampton, GA 30228-1839
Phone
(770) 707-1456
Fax
(770) 237-1124
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN057610 GA Primary

Addresses

Primary practice location

755 Wilkins Rd
Hampton, GA 30228-1839

Mailing address

755 Wilkins Rd
Hampton, GA 30228-1839
Phone (770) 707-1456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000314 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729073200 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Anesthesia LLCGroup PAC ID 2961868559, 18 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 401
Fayetteville, GA 30214-4537
Phone (843) 651-2624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 13, 2023 Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2023 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2011 Accepting new patients
Gainesville Foot and Ankle Surgery Center, PC CurrentSince Nov 18, 2018 Accepting new patients
Anesthesia Plus LLC CurrentSince Nov 18, 2018 Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients
Advanced Anesthesia Associates, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Noon Enterprizes Inc Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

7130 Mount Zion Blvd
Ste 14
Jonesboro, GA 30236
Phone (770) 716-2685

2326 Highway 34 E
Ste 100
Newnan, GA 30265
Phone (678) 902-0457

1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1659349199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WILKINS RD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281839",
            "telephone_number": "770-707-1456",
            "fax_number": "770-237-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 WILKINS RD",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281839",
            "telephone_number": "770-707-1456",
            "fax_number": "770-237-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOON",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN057610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.