KINGSLEY DUNWOODY PAA
NPI 1104169010
Anesthesiologist Assistant in Atlanta, GA

Q: What is Kingsley Dunwoody's NPI number?

The NPI number for Kingsley Dunwoody is 1104169010. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Q: What is Kingsley Dunwoody'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 Kingsley Dunwoody was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2013Accepts Medicare Assignment

1405 CLIFTON RD NE FL 3, ATLANTA, GA 30322(404) 785-6670(404) 785-1362 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

On this page

About Kingsley Dunwoody Paa NPPES

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

KINGSLEY DUNWOODY PAA (NPI 1104169010) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (9386) and active in the NPI registry since March 2013. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1104169010

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKINGSLEY DUNWOODYCredential: PAA

Location Address1405 CLIFTON RD NE FL 3Atlanta, GA 30322-1060

Mailing Address1405 Clifton Rd Ne Fl 3Atlanta, GA 30322-1060 · (404) 785-6670 · Fax (404) 785-1362

Phone(404) 785-6670

Fax(404) 785-1362

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 28, 2013

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1104169010 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 · 9386

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.

1405 CLIFTON RD NE FL 3, Atlanta, GA 30322

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kingsley Dunwoody Paa 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 ID1456585462

PECOS Enrollment IDI20220512000546

Leave this field empty

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.

MATTHEW LEWIS PAA

Anesthesiologist Assistant