Individual provider Active NPI

Roland Louis Pinkney, M.D.

  • Anesthesiology Physician
  • Stockbridge, GA
National Provider Identifier
1962484808
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
044058 Issued in GA
Practice address
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone
(678) 604-1053
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 044058 GA
Pediatric Anesthesiology Physician 207LP3000X 044058 GA
Pain Medicine Physician 208VP0000X 044058 GA
Interventional Pain Medicine Physician 208VP0014X 044058 GA
Anesthesiology Physician 207L00000X 044058 GA Primary

Addresses

Primary practice location

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085

Mailing address

PO Box 745092
Atlanta, GA 30374-5092
Phone (770) 702-1806

Other practice location 1

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 920-6413

Other practice location 2

8954 Hospital Dr
Douglasville, GA 30134
Phone (770) 920-6413

Other identifiers 3

IdentifierTypeStateIssuer
491431789AMedicaidGA
000792921AMedicaidGA
000792921CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000095 GA Practitioner - Anesthesiology 9335047984 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1988
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

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

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

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044058GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jun 16, 2018 Accepting new patients
Anesthesia Consultants of Georgia, LLC CurrentSince Jul 6, 2013 Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Georgia Group Services, LLC Anesthesiology CurrentSince Jun 16, 2018 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Apr 1, 2018 Accepting new patients
Piedmont Anesthesia LLC Anesthesiology CurrentSince May 17, 2023 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Metro West Anesthesia Anesthesiology Past Accepting new patients
Smyrna Anesthesia, LLS Anesthesiology Past Accepting new patients
Georgia Pain and Spine Solutions, PC Pain Medicine Past Accepting new patients
Cobb Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

5303 Adams St NE
Ste D
Covington, GA 30014
Phone (770) 786-7971

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

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

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200

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

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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

Hospital & facility affiliations 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1962484808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745092",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745092",
            "telephone_number": "770-702-1806",
            "fax_number": "770-693-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815085",
            "telephone_number": "678-604-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "770-920-6413",
            "fax_number": "678-838-2532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "30134",
            "country_code": "US",
            "telephone_number": "770-920-6413",
            "fax_number": "678-838-2532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKNEY",
        "first_name": "ROLAND",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "044058",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "GA",
            "license": "044058",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "044058",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "044058",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "044058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491431789A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000792921A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000792921C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.