ANESTHESIA SOLUTIONS OF GEORGIA LLC – Certified Registered Nurse Anesthetist, NPI 1093035677
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANESTHESIA SOLUTIONS OF GEORGIA LLC
130 E MAIN ST STE 200
CANTON, GA 301142784
Phone: (888) 408-0200
Type: Location
PO BOX 864602
ORLANDO, FL 328860001
Phone: (888) 337-3509
Fax: (941) 328-3997
Type: Mailing
165 NORTH PARK TRAIL
SUITE 100
STOCKBRIDGE, GA 302817373
Phone: (770) 506-1800
Fax: (770) 389-4461
Type: Location
PO BOX 4096
CANTON, GA 301140217
Phone: (470) 408-4437
Type: Mailing
PO BOX 1186
MABLETON, GA 301261003
Phone: (470) 408-4437
Type: Mailing
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: 2010-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (314 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20101022000244 | O | Clinic/Group Practice | GA | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 30114)
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