SU YUNG ANDERSON PA
NPI 1023063476
Anesthesiologist Assistant in Dunwoody, GA

Q: What is Su Anderson's NPI number?

The NPI number for Su Anderson is 1023063476. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Su Anderson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Su Anderson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2006Accepts Medicare Assignment

1870 INDEPENDENCE SQ, SUITE D, DUNWOODY, GA 30338(770) 396-6190(770) 396-5541 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Su Yung Anderson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SU YUNG ANDERSON PA (NPI 1023063476) is an individual anesthesiologist assistant in Dunwoody, Georgia, licensed in Georgia (002713) and active in the NPI registry since May 2006. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1023063476

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameSU YUNG ANDERSONCredential: PA

Location Address1870 INDEPENDENCE SQ, SUITE DDunwoody, GA 30338-5155

Mailing Address660 Elmwood Dr NeAtlanta, GA 30306-3644

Phone(770) 396-6190

Fax(770) 396-5541

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMay 24, 2006

Last NPPES UpdateOctober 17, 2016

✔ NPI 1023063476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 002713

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1870 INDEPENDENCE SQ, Dunwoody, GA 30338

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Other Identifiers 1

Medicare UPINS08417GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Su Yung Anderson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103816517

PECOS Enrollment IDI20040517001346

Medicare Billing Reassignment

Medicare enrollment records show Su Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Anesthesia Alliance Of Ga LLC

9.0 mi

Anesthesiology

3193 HOWELL MILL RD NW, SUITE 100
Atlanta, GA 30327

Reassigned Medicare billing, Georgia enrollment
32 clinicians in this Medicare group

NPI 1386737393 (770) 396-6190

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

178 services166 patients

Anesthesia for retinal surgery 00145

Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).

68 services67 patients

Anesthesia for other procedure on eye 00140

Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.

50 services48 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Su Anderson's NPI number?

The NPI number for Su Anderson is 1023063476. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Su Anderson located?

Su Anderson practices at 1870 Independence Sq Suite D, Dunwoody, GA 30338. The listed phone number is (770) 396-6190.

What is Su Anderson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Su Anderson enrolled in Medicare?

Yes. Su Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Su Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Su Anderson reassigns Medicare benefits to Ambulatory Anesthesia Alliance Of Ga LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Su Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Su Anderson was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.