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
Hospital & facility affiliations 2
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
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004620 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current |
Accepting new patients | |
| New London Anesthesia & Pain Consultants PC | Anesthesiologist Assistant | Current |
Accepting new patients |
| Mak Anesthesia Holdings LLC | Current |
Accepting new patients | |
| Emory Specialty Associates, LLC | Current |
Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679028104F | Medicaid | GA |
Other providers in Atlanta, GA
- Connecting the Gap Empowerment Group Inc
- Connections Counseling & Development Center, LLC
- Halea Connell
- Rachel Elizabeth Connell
- Erin Lynaugh Connelly
- Mary Claire Connelly
- Sydney Connelly
- Angela Melanie Conner
- Anna Lane Conner
- Christopher Neal Conner
All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.