Active NPI
Sidney Raymond Berry, PAA
- Anesthesiologist Assistant
- Atlanta, GA
National Provider Identifier
1740239136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 004369
- Practice address
- 1001 Johnson Ferry Rd
Scottish Rite Dept of Anes
Atlanta, GA 30342 - Phone
- (404) 785-2008
- Fax
- (404) 785-4496
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 004369 | GA | Primary |
Addresses
Primary practice location
1001 Johnson Ferry Rd
Scottish Rite Dept of Anes
Atlanta, GA 30342
Mailing address
1001 Johnson Ferry Rd
Scottish Rite Dept of Anes
Atlanta, GA 30342
Phone (404) 785-5932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1740239136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHNSON FERRY RD",
"address_2": "SCOTTISH RITE DEPT OF ANES",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-785-5932",
"fax_number": "404-785-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHNSON FERRY RD",
"address_2": "SCOTTISH RITE DEPT OF ANES",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "404-785-2008",
"fax_number": "404-785-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "SIDNEY",
"middle_name": "RAYMOND",
"credential": "PAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "004369",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.