GP Anesthesiology

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN114614 Issued in GA

Legal business name

GP ANESTHESIOLOGY

Practice address

3292 Mountain Dr Ste a
Decatur, GA 30032-1102

Phone

(706) 623-4271

Fax

(706) 225-7217

NPI assigned

Jun 2, 2011

Organization subpart

No

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

Authorized official

Name

Paul Weir

Title

Principal

Phone

(706) 425-2239

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1831483205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306770008",
            "telephone_number": "888-337-3509",
            "fax_number": "941-328-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3292 MOUNTAIN DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321102",
            "telephone_number": "706-623-4271",
            "fax_number": "706-225-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GP ANESTHESIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "WEIR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "706-425-2239"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN114614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CYB",
            "identifier": "114614",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Schuller Gortney, PHARM.D.
• George R Gottlieb, MD
• Chetan Goud, M.D
• Vinay B Gowda, M.D.
• Shubhra Goyal
• Grace Medical Supplies LLC
• Audra Grace
• Graceful Healing Home Care LLC
• Felicia Graddick
• Zachary Alexander Gradolph

• Certified Registered Nurse Anesthetist in Decatur, GA
• Providers in Decatur, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.