William Mason Andrews, CAA
Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA
NPI 1750104659 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1750104659
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 12904 (GA)
- Practice address
- 1000 Johnson Ferry Rd
Atlanta, GA 30342-1606 - Phone
- (404) 851-8917
- Fax
- (404) 303-3636
- NPI assigned
- Nov 7, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Anesthesia Professionals, LLC
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Cherokee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250206001011 | MO | Practitioner - Anesthesiology Assistant | 1254861289 | Reassigns benefits to 1 organization |
| I20250221001478 | GA | Practitioner - Anesthesiology Assistant | 1254861289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Anesthesiology Associates, Inc. | Current |
Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current |
Accepting new patients |
Locations
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 12904 | GA | Yes |
Addresses
Primary practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Mailing address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8917
Other providers in Atlanta, GA
- Latonya Michelle Andrews
- Linsey Andrews
- Parker Wade Andrews
- Robert Joseph Andrews
- Valisia A Andrews
- Zoe Lorene Andrews
- Sara Andrist
- Andrew D Andrle
- Karen J. Andry
- Moneba Anees
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 Feb 12, 2025. 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.