Individual provider Active NPI

Betsy Eleane Cuenca

  • Anesthesiologist Assistant
  • Lawrenceville, GA
National Provider Identifier
1831607142
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone
(678) 312-1000
NPI assigned
Jan 21, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 8906 GA
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Mailing address

3217 Sarah Lou Dr
Snellville, GA 30078-5746
Phone (770) 866-3810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181015000731 GA Practitioner - Anesthesiology Assistant 9537411863 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Anesthesiology of AthensGroup PAC ID 1456246230, 79 clinicians

Practice addresses (Care Compare)

1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008906GAMDProfessional Counselor
8906GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Anesthesiology of Athens CurrentSince Aug 1, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2023 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Jan 1, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC CurrentSince Dec 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2023 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Oct 1, 2018 Accepting new patients
Concordia Anesthesiology, Inc CurrentSince May 1, 2024 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

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

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

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

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

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

Organizations & group practices 8

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.

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": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1831607142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 SARAH LOU DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785746",
            "telephone_number": "770-866-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467694",
            "telephone_number": "678-312-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUENCA",
        "first_name": "BETSY",
        "middle_name": "ELEANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "8906",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.