Active NPI
Mariel G Boohaker, PAAA
- Anesthesiologist Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 005620
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (770) 645-9181
- Fax
- (770) 645-8455
- NPI assigned
- Sep 12, 2009
- Last updated
- Sep 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 005620 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
3155 N Point Pkwy
Building F, Suite 100
Alpharetta, GA 30005-5481
Phone (770) 645-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Johnson Fy Rd NE
Suite 200
Atlanta, GA 30342-2073
Phone (404) 257-1900
550 Peachtree St NE
Atlanta, GA 30308-2247
Phone (404) 847-0893
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005620 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| North Perimeter Anesthesia LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Endoscopy Consultants, LLC | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
3005 Royal Blvd S
Ste 200
Alpharetta, GA 30022
Phone (770) 680-2335
3330 Preston Ridge Rd
Ste 200
Alpharetta, GA 30005
Phone (404) 255-1000
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
10692 Medlock Bridge Rd
Ste 100A
Johns Creek, GA 30097
Phone (404) 446-2492
1100 Johnson Fy Rd NE
Ste 200
Sandy Springs, GA 30342
Phone (404) 257-1900
5669 Peachtree Dunwoody Rd
Ste 290
Sandy Springs, GA 30342
Phone (678) 399-2050
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1457716516
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1740328947
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252713600000",
"number": "1871826560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "BUILDING F, SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055481",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOHAKER",
"first_name": "MARIEL",
"middle_name": "G",
"credential": "PAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-12",
"last_updated": "2009-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "005620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2009; 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.