Betsy Eleane Cuenca
Individual provider Active NPI Anesthesiologist Assistant · Lawrenceville, GA
NPI 1831607142 · NPPES record last updated Nov 7, 2018
Key facts
- NPI
- 1831607142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-1000
- NPI assigned
- Jan 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Athens
Practice addresses (Care Compare)
1199 Prince Ave
Athens, GA 30606-2797
Phone (706) 543-3449
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181015000731 | GA | Practitioner - Anesthesiology Assistant | 9537411863 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8906 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia of Georgia LLC | Current |
Accepting new patients | |
| Concordia Anesthesiology, Inc | Current |
Accepting new patients | |
| Medical Center Anesthesiology of Athens | Current |
Accepting new patients | |
| North Atlanta Professional Services LLC | Current |
Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current |
Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
Accepting new patients | |
| Grady Memorial Hospital Corporation | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 8906 | GA | |
| Anesthesiologist Assistant | 367H00000X | Yes |
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
Other providers in Lawrenceville, GA
- Daniela Cruz Gomez
- Zandra M Cruz-Paul
- Glen Gomez Cruz
- Justin Paul Cruz
- Eglin Karol Cuba Paz
- Alex Jean Culberson
- Alexandra Culican
- Pamela Denise Cummings
- Brooke Elise Cummins
- Amy Maura Cunha
All providers in Lawrenceville, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.