Sweet Dreams Nurse Anesthesiology LLC
Organization Active NPI Certified Registered Nurse Anesthetist · Alpharetta, GA
NPI 1891005989 · NPPES record last updated Apr 25, 2018
Key facts
- NPI
- 1891005989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- SWEET DREAMS NURSE ANESTHESIOLOGY LLC
- Practice address
- 4080 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3901 - Phone
- (888) 728-0882
- Fax
- (888) 512-1507
- NPI assigned
- Oct 7, 2010
- Organization subpart
- No
Authorized official
- Name
- Richard Douberly, CRNA
- Title
- Member/Manager
- Phone
- (888) 728-0882
Member of 1
Practitioners 89
-
Derek Burns, CRNA
-
Kevin Michael Duff, CRNA
-
Joseph L Talley III, CRNA
-
Arthur F Stone Jr., ARNP, CRNA
-
Jannine Gundersen Taylor, CRNA
-
Korie L Agudelo, CRNA
-
Kimberly Jill Baier, CRNA
-
Zachery A Barr, CRNA
-
Kellie Michelle Blogg, CRNA
-
Anna Bowen, CRNA
-
Anthony Bryant, CRNA
-
Rebecca Ryan Bunt, CRNA
-
Randall J Cannady, CRNA
-
Ashlee Zackeru Chafin, CRNA
-
Jeffrey Elliott Cryder, CRNA
-
Charles Darren Daniel, CRNA
-
Mac Bradley Davis, CRNA
-
Daniel L Dell, CRNA
-
Deborah Marie Drake, CRNA
-
Joni Heather Duff, CRNA
-
Pamela Ellerbee, CRNA
-
Charles J Fetner, CRNA
-
Amanda Brittany Fowler, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120525000211 | GA | Part B Supplier - Clinic/Group Practice | 1658568621 |
Receives reassigned benefits from 88 practitioners Practice locations: Macon, GA; Stockbridge, GA; Moultrie, GA; Marietta, GA; Jesup, GA; Forest Park, GA; Fayetteville, GA; Eastman, GA… |
National Provider Directory
Locations
227 Mountain Dr
#900
Dahlonega, GA 30533
Phone (706) 864-6136
4339 Roswell Rd
Marietta, GA 30062
Phone (770) 977-8221
4339 Roswell Rd
Marietta, GA 30062
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
4080 McGinnis Ferry Rd Ste 102
Alpharetta, GA 30005-3901
Mailing address
PO Box 850001
Dept 0740
Orlando, FL 32885-0740
Other providers in Alpharetta, GA
- Monica Dawn Sutherland
- Kristi M Sutter
- Hillary Sutton
- Meghan Louise Sutton
- Sweet Dreams Nurse Anesthesia, Inc.
- Sweet Dreams of Albany LLC
- SWG Inc
- Aazrum Imran Syed
- Imran Syed
- Irfan Ali Syed
All providers in Alpharetta, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.