Organization Active NPI

Paragon Anesthesia LLC

  • Specialist
  • Atlanta, GA
National Provider Identifier
1881926632
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PARAGON ANESTHESIA LLC
Practice address
1140 Hammond Dr NE
BLDG E, Suite 50
Atlanta, GA 30328
Phone
(770) 558-8501
Fax
(770) 558-8512
NPI assigned
Feb 4, 2010
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Kevin J Sheahan, M.D.
Title
Partner
Phone
(770) 558-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1140 Hammond Dr NE
BLDG E, Suite 50
Atlanta, GA 30328

Mailing address

1140 Hammond Dr NE
BLDG. E, Suite 40
Atlanta, GA 30328-5338
Phone (770) 558-8501

Other identifiers 1

IdentifierTypeStateIssuer
202G706886OtherGAMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1881926632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR NE",
            "address_2": "BLDG. E, SUITE 40",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285338",
            "telephone_number": "770-558-8501",
            "fax_number": "770-558-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DR NE",
            "address_2": "BLDG E, SUITE 50",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-558-8501",
            "fax_number": "770-558-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SHEAHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-558-8501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202G706886",
            "state": "GA"
        }
    ],
    "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 Jul 27, 2018; 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.