GEORGIA ANESTHESIOLOGISTS, PC – Anesthesiology Physician, NPI 1740299197
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GEORGIA ANESTHESIOLOGISTS, PC
8954 Hospital Dr
Douglasville, GA 301342272
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
146 Bill Carruth Pkwy
Hiram, GA 301413749
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
531 Roselane St NW Ste 830
Marietta, GA 300606979
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
2540 Windy Hill Rd SE
Marietta, GA 300678605
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Location
8014 CUMMING HWY. STE 403-307
CANTON, GA 30115
Phone: (470) 505-8070
Fax: (678) 804-2373
Type: Mailing
1505 STONEBRIDGE PKWY
SUITE 200
WOODSTOCK, GA 30189
Phone: (470) 505-8070
Fax: (678) 804-2373
Type: Location
531, Roselane Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 830
MARIETTA, GA 300606979
Phone: (770) 794-0477
Fax: (770) 794-3108
Type: Mailing
677, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
MARIETTA, GA 300601101
Phone: (770) 794-0477
Fax: (770) 794-3108
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: 2004-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20040305000398 | O | Clinic/Group Practice | GA | TBD |
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.
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 30134)
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