HONGBO DAI
NPI 1093406399
Nurse Anesthetist, Certified Registered in Cartersville, GA

Active since May 17, 2023
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120(225) 923-0030 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hongbo Dai NPPES

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

HONGBO DAI (NPI 1093406399) is an individual nurse anesthetist, certified registered in Cartersville, Georgia, licensed in Georgia (RN223182) and active in the NPI registry since May 2023. She is affiliated with Southern Regional Medical Center and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093406399
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameHONGBO DAI
Location Address960 JOE FRANK HARRIS PKWY SECartersville, GA 30120-2129
Mailing AddressDiversified Professionals Inc, 8946 Interline Ave Suite CBaton Rouge, LA 70809
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2023
NPPES CertifiedMay 5, 2023
NPI 1093406399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in GA · RN223182
Definition

(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.

960 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hongbo Dai is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183074941
PECOS Enrollment IDI20231220002523

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Pathology (Anatomic Pathology & Clinical Pathology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Pathology (Anatomic Pathology & Clinical Pathology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Radiology (Diagnostic Radiology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Radiology (Diagnostic Radiology)
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Emergency Medicine
960 JOE FRANK HARRIS PKWY SE
CARTERSVILLE, GA 30120
Nurse Anesthetist, Certified Registered
960 JOE FRANK HARRIS PKWY SE, ANESTHESIA DEPT
CARTERSVILLE, GA 30120
Anesthesiology
960 JOE FRANK HARRIS PKWY SE, ANESTHESIA DEPT
CARTERSVILLE, GA 30120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093406399, enumerated as an "individual" on May 17, 2023.

The provider is located at 960 JOE FRANK HARRIS PKWY SE CARTERSVILLE, GA 30120 and the phone number is (225) 923-0030.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Hongbo Dai is affiliated with: SOUTHERN REGIONAL MEDICAL CENTER and PIEDMONT EASTSIDE MEDICAL CENTER.