Individual provider Active NPI

Shawn Ledford, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverdale, GA
National Provider Identifier
1811290695
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN126019 Issued in GA
Practice address
11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone
(770) 478-9877
Fax
(770) 478-2908
NPI assigned
Dec 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN126019 GA
Certified Registered Nurse Anesthetist 367500000X RN126019 GA Primary

Addresses

Primary practice location

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Mailing address

405 Arrowhead Blvd
Suite C
Jonesboro, GA 30236-1254
Phone (770) 478-9877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110314000828 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446432314 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Mercer University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Anesthesia of Georgia LLCGroup PAC ID 0446516769, 117 clinicians

Practice addresses (Care Compare)

5403 Hillandale Park Court
Suite a
Lithonia, GA 30058-4828
Phone (770) 817-0224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Nurse Anesthesiology LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2013 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 18, 2021 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 28, 2021 Accepting new patients
Sweet Dreams Anesthesiology Nurses of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 30, 2013 Accepting new patients
Synergy Anesthesiology Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 20, 2015 Accepting new patients
Sweet Dreams Nurse Anesthesia, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Sweet Dreams Nurse Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 11, 2013 Accepting new patients
Advanced Anesthesia Associates, PC Nurse Anesthetist, Certified Registered PastSince Jun 10, 2012 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

619 Pointe North Blvd
Albany, GA 31721
Phone (229) 883-4707

4080 McGinnis Ferry Rd
Ste 102
Alpharetta, GA 30005
Phone (770) 316-6158

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

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

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

4660 Riverside Park Blvd
Macon, GA 31210
Phone (478) 471-6300

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

6555 Professional Pl
Ste B
Riverdale, GA 30274
Phone (770) 692-0100

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

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

150 N Park Trl
#A
Stockbridge, GA 30281
Phone (770) 507-0909

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

3024 N Patterson St
Valdosta, GA 31602
Phone (229) 247-4114

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

900 Towne Lake Pkwy
Ste 310
Woodstock, GA 30189
Phone (770) 926-0071

Organizations & group practices 10

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1811290695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ARROWHEAD BLVD",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361254",
            "telephone_number": "770-478-9877",
            "fax_number": "770-478-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-478-9877",
            "fax_number": "770-478-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "SHAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-16",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN126019",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN126019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.