Individual provider Active NPI

John Llewellyn Stubbs, AA-C

  • Anesthesiologist Assistant
  • Marietta, GA
National Provider Identifier
1801984489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
003175 Issued in GA
Practice address
531 Roselane St NW
Marietta, GA 30060-6913
Phone
(770) 794-0477
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 003175 GA Primary

Addresses

Primary practice location

531 Roselane St NW
Marietta, GA 30060-6913

Mailing address

1472 Hedgewood LN NW
Kennesaw, GA 30152-4513
Phone (770) 419-5867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000665 GA Practitioner - Anesthesiology Assistant 4183689292 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

2306 Wisteria Dr
Suite 100
Snellville, GA 30078-3561
Phone (770) 979-8200

Hospital & facility affiliations

  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
003175GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Anesthesia Georgia, LLC CurrentSince Mar 1, 2025 Accepting new patients
Georgia Group Services, LLC CurrentSince Nov 15, 2009 Accepting new patients
Georgia Group Services, LLC CurrentSince Nov 15, 2009 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince Aug 1, 2010 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince Mar 21, 2017 Accepting new patients
Cobb Anesthesia, PC Anesthesiologist Assistant Past Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients
Georgia Anesthesiologists, PC Past Accepting new patients
Newnan Anesthesia Associates, LLC Past Accepting new patients
Anesthesiology Consultants PC Past Accepting new patients
Northlake Anesthesia Professionals, LLC Past Accepting new patients

Locations

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

2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100

1635 Old Highway 41 NW
Ste 112328
Kennesaw, GA 30152
Phone (770) 732-3664

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

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

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

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

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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.

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801984489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 HEDGEWOOD LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524513",
            "telephone_number": "770-419-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606913",
            "telephone_number": "770-794-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "JOHN",
        "middle_name": "LLEWELLYN",
        "name_prefix": "Mr.",
        "credential": "AA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "003175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.