Active NPI
Ngozi Iheanacho Bolton, PAA
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2442
- Practice address
- 1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605 - Phone
- (404) 785-2008
- Fax
- (404) 785-4496
- NPI assigned
- May 10, 2006
- Sex
- Female
- 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 | 2442 | GA | Primary |
Addresses
Primary practice location
1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605
Mailing address
1001 Johnson Fy Rd NE
Atlanta, GA 30342-1605
Phone (404) 785-2008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | choa@choa.gadirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Johnson Fy Rd NE
Suite 200
Atlanta, GA 30342-2073
Phone (404) 257-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Perimeter Anesthesia LLC | Current | Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Children'S Anesthesia Services, LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| Children'S Anesthesiology Consultants, PC | Past | Accepting new patients |
Locations
3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000
2620 Satellite Blvd
Duluth, GA 30096
Phone (404) 785-8000
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
5673 Peachtree Dunwoody Rd
Ste 945
Sandy Springs, GA 30342
Phone (404) 297-1334
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900
5445 Meridian Mark Rd
Ste 340
Sandy Springs, GA 30342
Phone (404) 785-5650
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
-
- Pediatric Anesthesiology Physician
- Brookhaven, GA
- NPI 1437203098
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1447357868
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": "1654473600000",
"number": "1801845292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHNSON FY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-2008",
"fax_number": "404-785-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHNSON FY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421605",
"telephone_number": "404-785-2008",
"fax_number": "404-785-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "NGOZI",
"middle_name": "IHEANACHO",
"credential": "PAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "2442",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "choa@choa.gadirect.net",
"affiliation": "N",
"address_1": "1001 Johnson Fy Rd NE",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303421605",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 6, 2022; 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.