NPIMap

Organization Active NPI

Mobile Anesthesia of Georgia LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1689957250
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
039201 Issued in GA
Legal business name
MOBILE ANESTHESIA OF GEORGIA LLC
Doing business as
Mobile Anesthesiologists of Georgia
Practice address
6111 Peachtree Dunwoody Rd NE
Building E, Suite 101
Atlanta, GA 30328-6049
Phone
(770) 552-9236
Fax
(770) 529-0928
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization
AMBULATORY ANESTHESIA OF ATLANTA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Stanford Ross Plavin, M.D.
Title
President
Phone
(770) 552-9236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 039201 GA Primary

Addresses

Primary practice location

6111 Peachtree Dunwoody Rd NE
Building E, Suite 101
Atlanta, GA 30328-6049

Mailing address

6111 Peachtree Dunwoody Rd NE
Building E, Suite 101
Atlanta, GA 30328-6049
Phone (770) 552-9236

Other names 1

  • Mobile Anesthesiologists of Georgia Doing business as

National Provider Directory

National Provider Directory
Part of
Ambulatory Anesthesia of

Locations

1690 Stone Village Ln NW
Kennesaw, GA 30152
Phone (770) 427-2533

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1689957250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD NE",
            "address_2": "BUILDING E, SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "770-552-9236",
            "fax_number": "770-529-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 PEACHTREE DUNWOODY RD NE",
            "address_2": "BUILDING E, SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286049",
            "telephone_number": "770-552-9236",
            "fax_number": "770-529-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ANESTHESIA OF GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULATORY ANESTHESIA OF ATLANTA LLC",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "PLAVIN",
        "authorized_official_first_name": "STANFORD",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-552-9236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "039201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Anesthesiologists of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.