Individual provider Active NPI

Courtney Shafer

  • Certified Registered Nurse Anesthetist
  • Carrollton, GA
National Provider Identifier
1962981381
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
118210 Issued in TN
Practice address
705 Dixie St
Carrollton, GA 30117-3818
Phone
(770) 812-9666
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 118210 TN Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

770 Spalding Heights Dr
Sandy Springs, GA 30350-5539
Phone (770) 401-9190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181116000882 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527312156 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC-West Georgia Anesthesia Associates Inc.Group PAC ID 2365456308, 67 clinicians

Practice addresses (Care Compare)

705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118210TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2022 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince May 26, 2022 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
Mak Anesthesia Holdings LLC CurrentSince May 1, 2024 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Nov 1, 2022 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 4, 2018 Accepting new patients
Digestive Healthcare of Ga, P.C. PastSince Jun 15, 2022 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2365 Old Milton Pkwy
Ste 100
Alpharetta, GA 30009
Phone (770) 516-1775

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

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

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

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

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

4500 Hospital Blvd
Ste 210
Roswell, GA 30076

1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (404) 256-7532

6105 Peachtree Dunwoody Rd
Ste B110
Sandy Springs, GA 30328
Phone (770) 379-7951

5730 Glenridge Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-3074

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

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

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

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 1

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1962981381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 SPALDING HEIGHTS DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303505539",
            "telephone_number": "770-401-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-812-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "118210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.