Susan Ghodrat, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0001260445 Issued in VA

Practice address

2655 Northwinds Pkwy
Alpharetta, GA 30009-2280

Phone

(678) 690-7804

NPI assigned

Dec 28, 2021

Last updated

May 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dominion Anesthesia PLLCGroup PAC ID 7618863713, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Dominion Anesthesia, PLLC

  • Anesthesiology Physician
  • Arlington, VA
  • NPI 1073554952

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Old Dominion Anesthesia LLC

  • Anesthesiology Physician
  • Charlottesville, VA
  • NPI 1902248677

  DC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Premier Anesthesia of Virginia LLC

  • Anesthesiology Physician
  • Woodbridge, VA
  • NPI 1255986147

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• SMG Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Virginia Beach, VA
  • NPI 1518205004
  Medicare reassignment NPD
• Surgical Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1811930647

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1891455184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 N PIERCE ST APT 508",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092280",
            "telephone_number": "678-690-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHODRAT",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001260445",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001260445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gershon, LCSW
• Carly Cee Witt Gesite, MS, PT, CNDT
• Getting Along, Inc. (Eddie Reece, MS, LPC)
• Joshua A Getzinger, CRNA
• Siavash Ghanean
• Cynthia Elizabeth Giannetti, NP
• Kenneth C Giardina, MD
• Ashley R Gibbs, BCBA, OTR/L
• Devin Gibbs
• Frances Gibson, M.A. CCC-SLP

• Certified Registered Nurse Anesthetist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.

Verify at the official NPI Registry.