NPIMap

Organization Active NPI

North Fulton Anesthesia Associates

  • Registered Nurse
  • Tucker, GA
National Provider Identifier
1902043441
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN108597 Issued in GA
Legal business name
NORTH FULTON ANESTHESIA ASSOCIATES
Practice address
4147 Hughes Lea
Tucker, GA 30084-1102
Phone
(770) 938-1011
NPI assigned
Jan 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Brian K. Waltmann, M.D.
Title
C.O.O.
Phone
(770) 751-2623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X RN108597 GA Primary

Addresses

Primary practice location

4147 Hughes Lea
Tucker, GA 30084-1102

Mailing address

4147 Hughes Lea
Tucker, GA 30084-1102
Phone (770) 938-1011

National Provider Directory

National Provider Directory
Tax ID family
North Fulton Anesthesia Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1902043441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 HUGHES LEA",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841102",
            "telephone_number": "770-938-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 HUGHES LEA",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841102",
            "telephone_number": "770-938-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "WALTMANN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "770-751-2623",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN108597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.