Organization Active NPI

Novus Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Atlanta, GA
National Provider Identifier
1912597808
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NOVUS ANESTHESIA PARTNERS, LLC
Practice address
620 Peachtree St NE Ste 311
Atlanta, GA 30308-2355
Phone
(404) 419-0230
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Carrie Vaughan
Title
Practice Manager
Phone
(404) 419-0237

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

620 Peachtree St NE Ste 311
Atlanta, GA 30308-2355

Mailing address

620 Peachtree St NE Ste 311
Atlanta, GA 30308-2355
Phone (404) 419-0230

National Provider Directory

National Provider Directory

Locations

620 Peachtree St NE
Ste 311
Atlanta, GA 30308
Phone (404) 419-0230

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1912597808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE STE 311",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082355",
            "telephone_number": "404-419-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 PEACHTREE ST NE STE 311",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082355",
            "telephone_number": "404-419-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS ANESTHESIA PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-419-0237"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 23, 2022; 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.