Individual provider Active NPI

Adam Stanton Fossett, AA-C

  • Anesthesiologist Assistant
  • Atlanta, GA
National Provider Identifier
1730754490
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
10631 Issued in GA
Practice address
1968 Peachtree Road NW
Atlanta, GA 30309-8221
Phone
(678) 216-0771
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X PENDING MO
Student in an Organized Health Care Education/Training Program 390200000X MO
Anesthesiologist Assistant 367H00000X 10631 GA Primary

Addresses

Primary practice location

1968 Peachtree Road NW
Atlanta, GA 30309-8221

Mailing address

339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224

Other practice location 1

775 poplar road, suite LL20
newnan, GA 30265-8221
Phone (770) 253-1912

Other practice location 2

745 poplar road
newnan, GA 30265-8221
Phone (770) 400-1000

Other practice location 3

1800 Howell mill road Suite 250
atlanta, GA 30318-8221
Phone (404) 537-4910

Other practice location 4

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 386-9224

Other practice location 5

1255 Highway 54 West
Fayettevillle, GA 30214-8221
Phone (404) 351-1745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001002044 GA Practitioner - Anesthesiology Assistant 9931505070 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Georgia LLCGroup PAC ID 6608123724, 62 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 979-0200

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Ambulatory Anesthesia LLC CurrentSince Aug 5, 2022 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince May 14, 2023 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Jul 22, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC CurrentSince Aug 5, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Sep 1, 2021 Accepting new patients
North Fulton Anesthesia Associates PC Anesthesiologist Assistant CurrentSince Apr 17, 2023 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910

303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

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

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

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

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

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

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1730754490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CONSORT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114439",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 PEACHTREE ROAD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303098221",
            "telephone_number": "678-216-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 poplar road, suite LL20",
            "address_purpose": "LOCATION",
            "city": "newnan",
            "state": "GA",
            "postal_code": "302658221",
            "country_code": "US",
            "telephone_number": "770-253-1912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 poplar road",
            "address_purpose": "LOCATION",
            "city": "newnan",
            "state": "GA",
            "postal_code": "302658221",
            "country_code": "US",
            "telephone_number": "770-400-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Howell mill road Suite 250",
            "address_purpose": "LOCATION",
            "city": "atlanta",
            "state": "GA",
            "postal_code": "303188221",
            "country_code": "US",
            "telephone_number": "404-537-4910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1255 Highway 54 West",
            "address_purpose": "LOCATION",
            "city": "Fayettevillle",
            "state": "GA",
            "postal_code": "302148221",
            "country_code": "US",
            "telephone_number": "404-351-1745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOSSETT",
        "first_name": "ADAM",
        "middle_name": "STANTON",
        "name_prefix": "Mr.",
        "credential": "AA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MO",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.