Organization Active NPI

Cobblestone Anesthesia Incorporated

  • Anesthesiology Physician
  • Kennesaw, GA
National Provider Identifier
1710602784
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
COBBLESTONE ANESTHESIA INCORPORATED
Practice address
3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078
Phone
(770) 794-6643
Fax
(770) 794-6683
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Marcus H Crawford, M.D.NPI 1770787582
Title
Owner
Phone
(770) 794-6643

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078

Mailing address

3450 Acworth Due West Rd NW Ste 200
Kennesaw, GA 30144-1078
Phone (770) 794-6643

National Provider Directory

National Provider Directory

Locations

3450 Acworth Due West Rd NW
Ste 200
Kennesaw, GA 30144
Phone (770) 456-5941

Practitioners & affiliated clinicians

Practitioners 5

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": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1710602784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ACWORTH DUE WEST RD NW STE 200",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441078",
            "telephone_number": "770-794-6643",
            "fax_number": "770-794-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLESTONE ANESTHESIA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-794-6643",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.