Greer G Connelly, AA

Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA

NPI 1730107962 · NPPES record last updated Oct 1, 2010

Key facts

NPI
1730107962
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiologist Assistant 367H00000X
License
004620 (GA)
Practice address
1968 Peachtree Road NW
Atlanta, GA 30309-1281
Phone
(404) 351-1745
Fax
(404) 351-7121
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Anesthesiology Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Anesthesia Professionals, LLC (543 clinicians)

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Hospital & facility affiliations

  • Northside Hospital Gwinnett Hospital · Lawrenceville, GA · CCN 110087
  • Northside Hospital Duluth Hospital · Duluth, GA · CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100 (apm)
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050929000322 GA Practitioner - Anesthesiology Assistant 3779518675 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Associate of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
004620GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Current
since Apr 1, 2020
Accepting new patients
New London Anesthesia & Pain Consultants PC Anesthesiologist Assistant Current
since Oct 1, 2011
Accepting new patients
Mak Anesthesia Holdings LLC Current
since May 1, 2022
Accepting new patients
Emory Specialty Associates, LLC Current
since Aug 1, 2013
Accepting new patients
North Atlanta Anesthesia Professionals, LLC Current
since Feb 5, 2024
Accepting new patients
Piedmont Anesthesia Associates, L.L.C Past Accepting new patients
Fayette Community Anesthesia Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

10670 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (678) 312-8570

631 Professional Dr
Ste 390
Lawrenceville, GA 30046
Phone (770) 338-1666

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

780 Canton Rd NE
Ste 100250
Marietta, GA 30060
Phone (770) 422-1579

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5730 Glenridge Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-3074

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004620 GA
Anesthesiologist Assistant 367H00000X 004620 GA Yes

Addresses

Primary practice location

1968 Peachtree Road NW
Atlanta, GA 30309-1281

Mailing address

PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839

Other identifiers

IdentifierTypeStateIssuer
679028104FMedicaidGA

Other providers in Atlanta, GA

All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.