Imani Anesthesia LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

IMANI ANESTHESIA LLC

Practice address

2053 Reflection Creek Dr
Conyers, GA 30013-7423

Phone

(678) 371-9187

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Johnson

Title

President

Phone

(678) 371-9187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1972270635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 REFLECTION CREEK DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 REFLECTION CREEK DR",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300137423",
            "telephone_number": "678-371-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-371-9187"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dione Hutchinson, LMSW
• Gina Kemp Hutto, LPC, MAC
• Ky Buu Huynh, MD
• John Sumner Hyland, MD
• Virginia Birnbach Hyland, MD
• Holly Anne Imlach, M.D.
• In Home Health LLC (Heartland Hospice Services)
• Infinite Care at Home LLC
• Ingles Markets Inc (Ingles Pharmacy #469)
• Malinda Ingram Weeks, LPC, NCC

• Certified Registered Nurse Anesthetist in Conyers, GA
• Providers in Conyers, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.