Phaedra D Simmons, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN168566 Issued in GA

Practice address

3885 Princeton Lakes Way SW
Atlanta, GA 30331-5589

Phone

(770) 929-9033

NPI assigned

Aug 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Phaedra D Wagner Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Anesthesia Consultants LLCGroup PAC ID 4486818093, 20 clinicians

Perimeter Anesthesia LLCGroup PAC ID 2567763048, 16 clinicians

Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Mulkey Anesthesiology Associates, PCGroup PAC ID 6406035583, 22 clinicians

GSG Anesthesia LLCGroup PAC ID 5395133276, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 34)

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.

• Gi Anesthesia of Georgia LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1326569187

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• GSG Anesthesia, LLC

  • Anesthesiology Physician
  • Lawrenceville, GA
  • NPI 1184294761

  GA

  Medicare reassignment Care Compare group NPD
• Mulkey Anesthesiology Associates LLC

  • Anesthesiology Physician
  • Austell, GA
  • NPI 1417288069

  GA

  Medicare reassignment Care Compare group NPD
• Atlanta Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Cumming, GA
  • NPI 1487928370

  GA

  Medicare reassignment Care Compare group
• Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
  • NPI 1922402445

  GA

  Medicare reassignment Care Compare group
• Ahs Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Smyrna, GA
  • NPI 1316214604

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Coastal Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Savannah, GA
  • NPI 1750753786

  GA

  Medicare reassignment NPD
• Concordia Anesthesiology, Inc

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1619296464

  GA

  Medicare reassignment NPD
• Gastroenterology Anesthesia Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
  • NPI 1942563242

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Snellville, GA
  • NPI 1811403207

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sleep Ezzy

  • Pain Medicine (Anesthesiology) Physician
  • Lawrenceville, GA
  • NPI 1154852820

  GA

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  GA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1659650372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MADISON PARK DR",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 PRINCETON LAKES WAY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315589",
            "telephone_number": "770-929-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "PHAEDRA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169561",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN168566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHAEDRA",
            "last_name": "WAGNER",
            "middle_name": "D",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Reeves Simmons
• Meredith Bailey Simmons, AMFT
• Michael Simmons
• Natasha Lasha Simmons
• Olivia Simmons, RN
• Qiana L. Simmons, SLP
• Rashida Janae Simmons, NURSE PRACTIONER
• Shayla J. Simmons
• Sydney Ma'Lan Simmons
• Talisha Precioustar Simmons, MSW

• All providers in Atlanta, GA
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.