Coastal Anesthesia Services LLC

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

005161 Issued in GA

Legal business name

COASTAL ANESTHESIA SERVICES LLC

Practice address

501 Sweetfern LN
Suite B
Sugar Hill, GA 30518-7612

Phone

(770) 617-7224

NPI assigned

Dec 5, 2007

Last updated

Dec 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherman Phillips, CCP, CRT,MMSC, PA

Title

Anesthesiologist Assistant

Phone

(770) 617-7224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1669654299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SWEETFERN LN",
            "address_2": "SUITE B",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SWEETFERN LN",
            "address_2": "SUITE B",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187612",
            "telephone_number": "770-617-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST ASSISTANT",
        "authorized_official_telephone_number": "770-617-7224",
        "authorized_official_credential": "CCP, CRT,MMSC, PA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "005161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Carroll, ED.S
• Nomiki Nikitadena Catsulis, APRN, PNP-PC
• Melissa Sharon Chason, F.N.P.
• Debra A Cirone, DC
• Joseph Clarino, DC
• Richard Lee Collin, D.C.
• Danielle Elise Cronin, PHARMD
• Keith Curcio, DVM
• Hayley Dahl
• Robert T Dambach Jr., D.O.

• Anesthesiologist Assistant in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.