Active NPI
Advanced Anesthesia Providers LLC
- Anesthesiology Physician
- Duluth, GA
National Provider Identifier
1780456293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ADVANCED ANESTHESIA PROVIDERS LLC
- Practice address
- 375 Findley Way
Duluth, GA 30097-1443 - Phone
- (404) 268-9907
- NPI assigned
- Oct 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luong Thi Nguyen, MD
- Title
- Owner
- Phone
- (404) 268-9907
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
375 Findley Way
Duluth, GA 30097-1443
Mailing address
375 Findley Way
Duluth, GA 30097-1443
Phone (404) 268-9907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231206000185 | GA | Part B Supplier - Clinic/Group Practice | 2062861800 |
Receives reassigned benefits from 1 practitioner Practice locations: Duluth, GA |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726790400000",
"number": "1780456293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 FINDLEY WAY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300971443",
"telephone_number": "404-268-9907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 FINDLEY WAY",
"city": "DULUTH",
"state": "GA",
"postal_code": "300971443",
"telephone_number": "404-268-9907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ANESTHESIA PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "LUONG",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-268-9907",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.