Individual provider Active NPI

Joseph Rosenthal

  • Anesthesiologist Assistant
  • Douglasville, GA
National Provider Identifier
1962808535
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
6389 Issued in GA
Practice address
8954 Hospital Dr
Douglasville, GA 30134-2272
Phone
(770) 949-1500
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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 6389 GA Primary

Addresses

Primary practice location

8954 Hospital Dr
Douglasville, GA 30134-2272

Mailing address

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 949-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326001715 GA Practitioner - Anesthesiology Assistant 1355668500 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Emory University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Ams Southeast LLCGroup PAC ID 3870880792, 83 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

2260 Wrightsboro Rd
Augusta, GA 30904-4764
Phone (706) 481-7000

4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone 7707021806210

5995 Barfield Rd
Sandy Springs, GA 30328-4411
Phone 7707021806210

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Memorial Satilla Health Hospital, Waycross, GA, CCN 110003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6389GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mak Anesthesia Holdings LLC CurrentSince Oct 2, 2023 Accepting new patients
Mak Anesthesia Georgia, LLC CurrentSince Oct 2, 2023 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 1, 2022 Accepting new patients
Ams Southeast LLC Anesthesiologist Assistant CurrentSince Sep 5, 2018 Accepting new patients
Premier Anesthesia of Georgia LLC Anesthesiologist Assistant CurrentSince Sep 1, 2018 Accepting new patients
New London Anesthesia & Pain Consultants PC Anesthesiologist Assistant CurrentSince Mar 1, 2016 Accepting new patients
Gi Anesthesia of Georgia LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

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

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

6335 Hospital Pkwy
Ste 208
Johns Creek, GA 30097
Phone (404) 645-7150

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

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

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 8

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 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": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1962808535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342272",
            "telephone_number": "770-949-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HOSPITAL DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342272",
            "telephone_number": "770-949-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "6389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.