GI ANESTHESIA OF GEORGIA LLC – Certified Registered Nurse Anesthetist, NPI 1326569187
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GI ANESTHESIA OF GEORGIA LLC
488 Kennesaw Ave NW
Marietta, GA 300609409
Phone: (770) 427-3075
Type: Location
5403 Hillandale Park Court
Lithonia, GA 300584828
Phone: (770) 817-0224
Type: Location
150 N Park Trl
Stockbridge, GA 302817372
Phone: (770) 507-0909
Type: Location
1269 Wellbrook Cir NE
Conyers, GA 300123873
Phone: (770) 922-0505
Type: Location
7229 Wheat St NE
Covington, GA 300141566
Phone: (678) 625-5132
Type: Location
226 E College St
Griffin, GA 302244348
Phone: (678) 987-1490
Type: Location
5671 Peachtree Dunwoody Rd
Atlanta, GA 303425000
Phone: (404) 257-9000
Type: Location
340 N Milledge Ave
Athens, GA 306013806
Phone: (706) 548-0008
Type: Location
301 Philip Blvd
Lawrenceville, GA 300468745
Phone: (770) 822-5560
Type: Location
4275 Johns Creek Pkwy
Suwanee, GA 300249117
Phone: (678) 475-1606
Type: Location
550 Peachtree St NE
Atlanta, GA 303082212
Phone: (404) 881-1094
Type: Location
1200 Lower Fayetteville Rd
Newnan, GA 302651133
Phone: (678) 631-4610
Type: Location
1955 TEXTILE WAY
GAINESVILLE, GA 305012543
Phone: (404) 888-7575
Type: Location
8855 Hospital Dr
Douglasville, GA 301342256
Phone: (678) 784-5020
Type: Location
900 Towne Lake Pkwy
Woodstock, GA 301891602
Phone: (770) 926-5459
Type: Location
11315 Johns Creek Pkwy
Johns Creek, GA 300972645
Phone: (770) 227-2222
Type: Location
2675 N Decatur Rd
Decatur, GA 300336131
Phone: (404) 299-1679
Type: Location
1139 Lexington Ave
Savannah, GA 314045502
Phone: (912) 303-4200
Type: Location
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328865606
Phone: (888) 337-3509
Type: Mailing
PO BOX 75449
CHICAGO, IL 606755449
Phone: (888) 337-3509
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: 2017-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-01-31 (130 days ago).
Enrollment records
1
Earliest due date
2026-01-31
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 |
|---|---|---|---|---|
| O20171102000283 | O | Clinic/Group Practice | GA | 2026-01-31 |
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 30060)
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