Individual provider Active NPI

Rasheed O Amao, M.D

  • Anesthesiology Physician
  • Winder, GA
National Provider Identifier
1891809927
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
22132 Issued in NE
Practice address
316 N Broad St
Winder, GA 30680-2150
Phone
(770) 867-3400
Fax
(865) 777-0910
NPI assigned
Aug 18, 2006
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 22132 NE Primary

Addresses

Primary practice location

316 N Broad St
Winder, GA 30680-2150

Mailing address

12752 Kingston Pike
Suite E202
Knoxville, TN 37934-0946
Phone (877) 277-9030

Other identifiers 1

IdentifierTypeStateIssuer
003131868BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130411000123 GA Practitioner - Anesthesiology 4486747664 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22132NEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Anesthesia LLC Anesthesiology CurrentSince Sep 15, 2016 Accepting new patients
Resource Anesthesia Barrow Inc. CurrentSince Mar 1, 2013 Accepting new patients
Creighton University Anesthesiology Past Accepting new patients
Creighton University Past Accepting new patients

Locations

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

138 W Athens St
Winder, GA 30680
Phone (770) 307-3922

316 N Broad St
Winder, GA 30680
Phone (770) 307-5354

12752 Kingston Pike
Ste E202
Knoxville, TN 37934
Phone (877) 277-9030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1891809927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 KINGSTON PIKE",
            "address_2": "SUITE E202",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379340946",
            "telephone_number": "877-277-9030",
            "fax_number": "865-777-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802150",
            "telephone_number": "770-867-3400",
            "fax_number": "865-777-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAO",
        "first_name": "RASHEED",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "22132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131868B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.