NPIMap

Organization Active NPI

Sweet Dreams Nurse Anesthesiology LLC

  • Certified Registered Nurse Anesthetist
  • Alpharetta, GA
National Provider Identifier
1891005989
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 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
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Richard Douberly, CRNANPI 1942311428
Title
Member/Manager
Phone
(888) 728-0882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1650 Mulkey Rd
Austell, GA 30106
Phone (770) 544-0444

227 Mountain Dr
#900
Dahlonega, GA 30533
Phone (706) 864-6136

110 Professional Ct
Jesup, GA 31545
Phone (830) 714-3073

4339 Roswell Rd
Marietta, GA 30062

4339 Roswell Rd
Marietta, GA 30062
Phone (770) 977-8221

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1891005989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "address_2": "DEPT 0740",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MCGINNIS FERRY RD STE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053901",
            "telephone_number": "888-728-0882",
            "fax_number": "888-512-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET DREAMS NURSE ANESTHESIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "DOUBERLY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "888-728-0882",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.