ANDREW OLUATA (C-AA) – Anesthesiologist Assistant, NPI 1720838790

ANDREW OLUATA (C-AA) is a healthcare provider. based in Riverdale, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials C-AA. The NPI Number for ANDREW OLUATA (C-AA) is 1720838790

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW OLUATA (C-AA)
NPI
1720838790
Phone
(404) 957-4720
Address
2014 MORRIS DR
Enumeration Date
25 March 2024
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8002421131
Graduation Year
2024 (2 years ago)
PAC ID
1052858727
Group Practice PAC ID
2163837972
Professional Enrollment ID
I20250530002745
Address ID
GA302815085ST1133XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for ANDREW OLUATA (C-AA)

  • 2014 MORRIS DR

    RIVERDALE, GA 302962444

    Phone: (404) 957-4720

    Type: Mailing

  • 1133 EAGLES LANDING PKWY

    STOCKBRIDGE, GA 302815085

    Phone: (678) 604-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240731002100IAnesthesiology AssistantMOTBD
I20241202001536IPhysician AssistantGATBD
I20250530002745IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30296)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163837972View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
Anesthesiology AssistantGA
A N E S T H E S I O L O G YGA
Anesthesiology AssistantAL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What is the standard ID for ANDREW OLUATA (C-AA) in the U.S.?
In the U.S., ANDREW OLUATA (C-AA) is identified by NPI 1720838790.
Quick check: is ANDREW OLUATA (C-AA) active?
Public NPPES data shows ANDREW OLUATA (C-AA) with an active NPI status right now.
Which specialty label fits ANDREW OLUATA (C-AA)?
NPPES ties ANDREW OLUATA (C-AA) to Anesthesiologist Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANDREW OLUATA (C-AA)?
ANDREW OLUATA (C-AA) shows a connection to Riverdale, Georgia in registry-derived data.
Why is information missing for ANDREW OLUATA (C-AA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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