KEVIN M RYAN PAAA
NPI 1295763100
Anesthesiologist Assistant in Lawrenceville, GA

Q: What is Kevin Ryan's NPI number?

The NPI number for Kevin Ryan is 1295763100. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Kevin Ryan'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 Kevin Ryan was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 29, 2006Accepts Medicare Assignment

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(770) 277-3056(855) 204-5244 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kevin M Ryan Paaa NPPES

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

KEVIN M RYAN PAAA (NPI 1295763100) is an individual anesthesiologist assistant in Lawrenceville, Georgia, licensed in Georgia (001975) and active in the NPI registry since June 2006. He is affiliated with Northside Hospital Gwinnett and is a graduate of Other (1987).

NPPES Registry Identity

NPI1295763100

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameKEVIN M RYANCredential: PAAA

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-0000

Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569

Phone(770) 277-3056

Fax(855) 204-5244

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateJune 29, 2006

Last NPPES UpdateApril 22, 2014

✔ NPI 1295763100 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 · 001975

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.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified97BBFZMGA

Medicare UPINS22310GA

Medicare PIN2021321184GA

Medicaid100001297AGA

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

Kevin M Ryan Paaa 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 ID3678566916

PECOS Enrollment IDI20040405000484

Medicare Billing Reassignments

Medicare enrollment records show Kevin Ryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Anesthesiology Associates Of Georgia, LLC

11 mi

Anesthesiology

2171 WEST PARK COURT, SUITE A
Stone Mountain, GA 30087

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

NPI 1528068673 (678) 514-1991

North Atlanta Professional Services LLC

20 mi

Psychologist

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

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

NPI 1316959869 (855) 709-4535

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 2

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 heart artery bypass grafting on heart-lung machine 00567

Anesthesia for heart artery bypass grafting on a heart-lung machine involves administering medications to induce sleep and eliminate pain during surgery. The heart-lung machine takes over heart and lung functions, ensuring blood flow and oxygen supply to the body.

26 services26 patients

Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year or older) 00562

This procedure involves administering anesthesia to ensure comfort and safety during heart or large blood vessel operations. A heart-lung machine is used to take over the heart's function, allowing the surgeon to work on a still heart. Suitable for individuals aged 1 year and older.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

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.

DR. ROBERT E BLACK III MD

Anesthesiology