Individual provider Active NPI

Okera S Hanshaw, M.D.

  • Anesthesiology Physician
  • Stockbridge, GA
National Provider Identifier
1801093703
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
67240 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
NPI assigned
Jul 2, 2007
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 67240 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

3 McEvoy LN
Decatur, GA 30030-4412
Phone (678) 596-3464

Other practice location 1

3 McEvoy Ln
Decatur, GA 30030-4412
Phone (678) 596-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000230 GA Practitioner - Anesthesiology 0446415566 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67240GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Progressive Anesthesia LLC Anesthesiology CurrentSince Aug 15, 2019 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 23, 2021 Accepting new patients
Greater Atlanta Anesthesia, LLC Anesthesiology CurrentSince Aug 15, 2019 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 9, 2023 Accepting new patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Jan 31, 2022 Accepting new patients
Ams Southeast LLC Anesthesiology CurrentSince Dec 22, 2018 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Jan 23, 2021 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Hypnos Anesthesia, LLC Anesthesiology CurrentSince Apr 19, 2020 Accepting new patients
Ambulatory Anesthesia Partners LLC Anesthesiology CurrentSince Dec 7, 2019 Accepting new patients
Northside Primary Care Professional Services,LLC CurrentSince Jan 23, 2021 Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

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

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

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

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

1380 Milstead Ave NE
Ste G
Conyers, GA 30012
Phone (770) 388-7745

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

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

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

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

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

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1801093703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MCEVOY LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304412",
            "telephone_number": "678-596-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 McEvoy Ln",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300304412",
            "country_code": "US",
            "telephone_number": "678-596-3464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSHAW",
        "first_name": "OKERA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "67240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.