PETER A. BEVERLY (NPI# 1114180239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114180239 |
| Entity Type | Individual |
| Full Name | PETER A. BEVERLY |
| Credential | CRNA |
| Practice Address |
303 Parkway Drive Ne Pmb 404 Atlanta GA 30312-1212 |
| Mailing Address |
Po Box 932925 Atlanta GA 31193-2925 |
| Practice Telephone | 4042654424 |
| Practice Fax Number | 4042653894 |
| Mailing Telephone | 8003649216 |
| Mailing Fax Number | 4238925838 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2010-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN127632 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 1114180239 | 01 | |
| GA | 670634888F | 05 | |
| GA | 670634888E | 05 |
| Street Address |
303 PARKWAY DRIVE NE PMB 404 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508848565 | Eric J Udoff | Radiology | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2005-11-16 |
| 1831719343 | Luis Miguel Nieto | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Wellstar Amc Internal Medicine Residency Program, Atlanta, GA 30312-1212 | 2020-04-24 |
| 1356978589 | Paula Bugg-wrenn | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, 4th Floor 4w, Atlanta, GA 30312 | 2020-03-26 |
| 1821550617 | David Carney | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Gme Office, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1992293138 | Syeda Hira Zahid | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Atlanta, Georgia 30312-1212, Atlanta, GA 30312-1212 | 2018-04-24 |
| 1497250641 | Sana Virani | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2018-03-29 |
| 1154662914 | Amy Siegel | Occupational Therapist | 303 Parkway Drive Ne, Wellness Center, Atlanta, GA 30312-5166 | 2013-03-04 |
| 1659633519 | Abby Elaine Nichols | Anesthesiologist Assistant | 303 Parkway Drive Ne, Atlanta, GA 30312-1212 | 2012-06-15 |
| 1164404521 | Alan R Johnson | Radiology | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2005-11-18 |
| 1326020389 | Lizabeth A Humphrey | Radiology | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2005-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255805107 | B and B Healthcare Consultants | Nurse Anesthetist, Certified Registered | 310 Stoneleigh Dr Sw, Atlanta, GA 30331-7666 | 2019-01-14 |
| 1578074993 | Spectrum Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 67 Peachtree Park Dr Ne Ste 101, Atlanta, GA 30309-1318 | 2017-10-12 |
| 1346778610 | Michelle Leigh Sebag | Nurse Anesthetist, Certified Registered | 550 Peachtree St Ne Fl 2, Atlanta, GA 30308-2212 | 2017-05-31 |
| 1720525439 | Alison Briana Gunbay | Nurse Anesthetist, Certified Registered | 2952 Ashlyn Ridge Ct, Atlanta, GA 30340-2278 | 2017-01-20 |
| 1740723147 | Frank James Sullen Jr. | Nurse Anesthetist, Certified Registered | 500 Northridge Rd, Suite 330, Atlanta, GA 30350-3315 | 2016-12-02 |
| 1902267974 | Bonnie Grullon-cooper | Nurse Anesthetist, Certified Registered | 80 Jesse Hill Jr Dr. Box 88, Grady Hospital, Atlanta, GA 30303 | 2016-03-17 |
| 1851799373 | Ambulatory Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | 438 Tara Trl, Atlanta, GA 30327-4926 | 2014-12-16 |
| 1871933663 | Robert T. Eliason | Nurse Anesthetist, Certified Registered | 600 Peachtree Park Dr Ne, Ste 200, Atlanta, GA 30309 | 2013-06-26 |
| 1609140938 | Kristina Marie Kinney | Nurse Anesthetist, Certified Registered | 550 Peachtree Street Nw, Atlanta, GA 30308 | 2012-03-05 |
| 1265723530 | Katrece Levoy Ellis | Nurse Anesthetist, Certified Registered | 2829 Overlook Trce, Atlanta, GA 30324-7505 | 2011-04-21 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.