NPIMap

Organization Active NPI

Perimeter Anesthesia LLC

  • Anesthesiology Physician
  • Canton, GA
National Provider Identifier
1922402445
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PERIMETER ANESTHESIA LLC
Practice address
130 E Main St Ste 200
Canton, GA 30114-2784
Phone
(808) 408-0200
NPI assigned
Oct 13, 2014
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mr. Timothy Gordon Barton, CRNANPI 1902220981
Title
Owner - Manager
Phone
(888) 408-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN146149 GA

Addresses

Primary practice location

130 E Main St Ste 200
Canton, GA 30114-2784

Mailing address

PO Box 4096
Canton, GA 30114-0217
Phone (888) 408-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229001858 GA Part B Supplier - Clinic/Group Practice 2567763048 Receives reassigned benefits from 64 practitioners
Practice locations: Lagrange, GA; Lawrenceville, GA; Lithia Springs, GA; Mableton, GA; Marietta, GA; Newnan, GA; Stockbridge, GA; Villa Rica, GA…

National Provider Directory

National Provider Directory

Locations

3193 Howell Mill Rd NW
Ste 315
Atlanta, GA 30327
Phone (404) 603-9090

6300 Hospital Pkwy
Ste 400
Johns Creek, GA 30097
Phone (678) 205-4261

2285 Asquith Ave SW
Marietta, GA 30008
Phone (770) 464-5485

6105 Peachtree Dunwoody Rd
Ste A100
Sandy Springs, GA 30328
Phone (770) 394-4000

1365 Rock Quarry Rd
Ste 301
Stockbridge, GA 30281
Phone (770) 380-8299

1757 Rock Quarry Rd
#B
Stockbridge, GA 30281

403 Permian Way
Villa Rica, GA 30180
Phone (678) 840-4034

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1922402445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4096",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140217",
            "telephone_number": "888-408-0200",
            "fax_number": "888-505-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E MAIN ST STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142784",
            "telephone_number": "808-408-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER - MANAGER",
        "authorized_official_telephone_number": "888-408-0200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN146149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.