Individual provider Active NPI

Michael John Muzyka, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1891754511
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN088047 Issued in GA
Practice address
5671 Peachtree-Dunwoody Road
Suite 680
Atlanta, GA 30342-5014
Phone
(404) 705-6985
Fax
(404) 851-9950
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN088047 GA Primary

Addresses

Primary practice location

5671 Peachtree-Dunwoody Road
Suite 680
Atlanta, GA 30342-5014

Mailing address

PO Box 740209
Detp 1029
Atlanta, GA 30374-0209
Phone (941) 360-1566

Other identifiers 1

IdentifierTypeStateIssuer
000556344MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28279SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Anesthesia Associates Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
Wallace Thomson Hospital Past Accepting new patients
Ahp of Central Georgia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Strand Anesthesia, PC Nurse Anesthetist, Certified Registered Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1891754511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DETP 1029",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "941-360-1566",
            "fax_number": "941-360-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE-DUNWOODY ROAD",
            "address_2": "SUITE 680",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425014",
            "telephone_number": "404-705-6985",
            "fax_number": "404-851-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZYKA",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN088047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000556344",
            "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 Oct 25, 2010; 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.