Lorie Davis Bender, PA-AA
Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA
NPI 1952597940 · NPPES record last updated Nov 7, 2016
Key facts
- NPI
- 1952597940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 005184 (GA)
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (404) 351-1745
- Fax
- (404) 351-7121
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Anesthesia Professionals, LLC
Anesthesia Associates of Gainesville, LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 532-7179
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northside Hospital Gwinnett
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080107000557 | GA | Practitioner - Anesthesiology Assistant | 2668552480 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia Associates, L.L.C | Current |
Accepting new patients | |
| North Atlanta Anesthesia Professionals, LLC | Current |
Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Current |
Accepting new patients | |
| Anesthesia Associates of Gainesville, LLC | Current |
Accepting new patients | |
| Ambulatory Anesthesia of North Georgia, LLC | Current |
Accepting new patients | |
| Dekalb Anesthesia Associates, P a | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
1488 Jesse Jewell Pkwy SE
Ste 201
Gainesville, GA 30501
Phone (678) 253-0175
1488 Jesse Jewell Pkwy SE
Ste 100
Gainesville, GA 30501
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
2171 W Park Ct
Ste A
Stone Mtn, GA 30087
Phone (678) 514-1991
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | 005184 | GA | Yes |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (800) 243-3839
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 548553784A | Medicaid | GA | |
| 005184 | Other | GA | STATE LICENSE |
Other providers in Atlanta, GA
- Benchmark Physical Therapy, Inc
- Bender Dental Associates, PC
- Anneke Bender
- Baxter Thomas Bender
- Hannah Bender
- William Scott Bender
- Indumathi Bendi
- Bene' Mental Wellness
- James Benedict
- Linda M Benedict
All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.