Organization Active NPI

City Wide Anesthesia Associates,LLC

  • Certified Registered Nurse Anesthetist
  • Athens, GA
National Provider Identifier
1891932448
Registry record updated Jan 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CITY WIDE ANESTHESIA ASSOCIATES,LLC
Practice address
1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132
Phone
(706) 207-5407
NPI assigned
Jan 18, 2009
Last updated
Jan 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2009

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

Authorized official

Name
Mr. Kenneth David Stanley, CRNA
Title
Managing Member
Phone
(706) 207-5407

Specialties & licenses 1

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

Addresses

Primary practice location

1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132

Mailing address

1720 Epps Bridge Pkwy
Suite 108-382
Athens, GA 30606-6132
Phone (706) 207-5407

National Provider Directory

National Provider Directory

Locations

1720 Epps Bridge Pkwy
Ste 108382
Athens, GA 30606
Phone (706) 207-5407

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232236800000",
    "number": "1891932448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 108-382",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-207-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EPPS BRIDGE PKWY",
            "address_2": "SUITE 108-382",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066132",
            "telephone_number": "706-207-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY WIDE ANESTHESIA ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-18",
        "last_updated": "2009-01-18",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "706-207-5407",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2009; 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.