Active NPI
Anita Trent Degler, CRNA
- Certified Registered Nurse Anesthetist
- Johns Creek, GA
National Provider Identifier
1669441861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN037348
- Practice address
- 6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549 - Phone
- (404) 778-8311
- Fax
- (770) 495-1581
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN037348 | GA | Primary |
Addresses
Primary practice location
6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549
Mailing address
6335 Hospital Pkwy
Dept 1029
Johns Creek, GA 30097-1549
Phone (404) 778-8311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000550327 | Medicaid | GA |
Other names 1
- Anita Diane Degler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN037348 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockdale Anesthesia Services, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Conyers, GA
- NPI 1619028396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1669441861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6335 HOSPITAL PKWY",
"address_2": "DEPT 1029",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971549",
"telephone_number": "404-778-8311",
"fax_number": "770-495-1581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6335 HOSPITAL PKWY",
"address_2": "DEPT 1029",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971549",
"telephone_number": "404-778-8311",
"fax_number": "770-495-1581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGLER",
"first_name": "ANITA",
"middle_name": "TRENT",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN037348",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000550327",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "DEGLER",
"middle_name": "DIANE",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.