Active NPI
Steven M Goldberg, PAAA
- Anesthesiologist Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 2692
- Practice address
- 780 Canton Road
Suite 100
Marietta, GA 30060-7259 - Phone
- (678) 574-0943
- Fax
- (678) 574-0943
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 2692 | GA | Primary |
Addresses
Primary practice location
780 Canton Road
Suite 100
Marietta, GA 30060-7259
Mailing address
3155 N Point Pkwy
Attn: Credentialing Dept., Building F, Suite 100
Alpharetta, GA 30005
Phone (770) 645-9181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000175 | GA | Practitioner - Anesthesiology Assistant | 2365457967 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emory Specialty Associates, LLC
Practice addresses (Care Compare)
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812
Hospital & facility affiliations
- Emory University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2692 | GA | MD | Chiropractor |
| 002692 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Specialty Associates, LLC | Current | Accepting new patients | |
| Atlanta Surgery Center LTD | Past | Accepting new patients | |
| Northside Anesthesiology Consultants, LLC | Past | Accepting new patients | |
| Advanced Anesthesia Associates, PC | Anesthesiologist Assistant | Past | Accepting new patients |
| Ambulatory Anesthesia of Atlanta, P C | Past | Accepting new patients |
Locations
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
780 Canton Rd NE
Ste 100
Marietta, GA 30060
Phone (678) 574-0943
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
830 Eagles Landing Pkwy
Ste 101
Stockbridge, GA 30281
Phone (402) 779-6135
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Covington, GA
- NPI 1649260738
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Marietta, GA
- NPI 1164418489
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1336104926
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1083600308
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": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1992780795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "ATTN: CREDENTIALING DEPT., BUILDING F, SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 CANTON ROAD",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607259",
"telephone_number": "678-574-0943",
"fax_number": "678-574-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "STEVEN",
"middle_name": "M",
"credential": "PAAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "2692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.