Individual provider Active NPI

Gayle E Pereira, CRNA

  • Certified Registered Nurse Anesthetist
  • Dunwoody, GA
National Provider Identifier
1760478481
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN061944 Issued in GA
Practice address
4575 N Shallowford Rd
Atten: Martha Crawford
Dunwoody, GA 30338-6445
Phone
(404) 778-8311
Fax
(770) 454-4065
NPI assigned
Sep 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN061944 GA Primary

Addresses

Primary practice location

4575 N Shallowford Rd
Atten: Martha Crawford
Dunwoody, GA 30338-6445

Mailing address

4575 N Shallowford Rd
Atten: Martha Crawford
Dunwoody, GA 30338-6445
Phone (770) 454-4286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061017000282 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133125008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 23, 2017 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Feb 1, 2018 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2011 Accepting new patients
Peachtree Orthopaedic Surgery Center-North, LLC PastSince May 25, 2021 Accepting new patients
Eclipse Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Northside Anesthesiology Consultants, LLC PastSince May 7, 2023 Accepting new patients

Locations

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

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

1035 Southcrest Dr
Ste 250
Stockbridge, GA 30281
Phone (770) 996-9945

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488499200000",
    "number": "1760478481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 N SHALLOWFORD RD",
            "address_2": "ATTEN: MARTHA CRAWFORD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386445",
            "telephone_number": "770-454-4286",
            "fax_number": "770-454-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 N SHALLOWFORD RD",
            "address_2": "ATTEN: MARTHA CRAWFORD",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386445",
            "telephone_number": "404-778-8311",
            "fax_number": "770-454-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "GAYLE",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2017-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN061944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.