Individual provider Active NPI

Nery J Castillo

  • Anesthesiologist Assistant
  • Rome, GA
National Provider Identifier
1922585074
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
501 Redmond Rd NW
Rome, GA 30165
Phone
(706) 291-0291
NPI assigned
Jul 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

501 Redmond Rd NW
Rome, GA 30165

Mailing address

110 Lindsey CT NE
Calhoun, GA 30701-2076
Phone (678) 848-5752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308002384 GA Practitioner - Anesthesiology Assistant 2264771237 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians
Redmond Anesthesia and Pain Treatment, PCGroup PAC ID 4880841741, 77 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 103
Fayetteville, GA 30214
Phone (404) 351-1745

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000

501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291

Hospital & facility affiliations

  • Adventhealth Redmond Hospital, Rome, GA, CCN 110168
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC Current Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Mar 1, 2025 Accepting new patients
Redmond Anesthesia and Pain Treatment, PC CurrentSince Jan 20, 2019 Accepting new patients
Georgia Group Services, LLC CurrentSince Apr 20, 2022 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Nov 17, 2020 Accepting new patients

Locations

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500

1265 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (678) 216-0771

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225

2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1922585074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LINDSEY CT NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012076",
            "telephone_number": "678-848-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-291-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "NERY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.