ALEKSANDR FEDOVSKIY PAAA
NPI 1346224763
Anesthesiologist Assistant in Stockbridge, GA

Active since November 30, 2005
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(678) 604-1053 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Aleksandr Fedovskiy Paaa NPPES

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

ALEKSANDR FEDOVSKIY PAAA (NPI 1346224763) is an individual anesthesiologist assistant in Stockbridge, Georgia, licensed in Georgia (003692) and active in the NPI registry since November 2005. He is affiliated with Southern Regional Medical Center, maintains a secondary practice location in Atlanta, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1346224763
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameALEKSANDR FEDOVSKIYCredential: PAAA
Location Address1133 EAGLES LANDING PKWYStockbridge, GA 30281-5085
Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 30, 2005
Last NPPES UpdateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
NPI 1346224763 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 · 003692
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.
1133 EAGLES LANDING PKWY, Stockbridge, GA 30281

Secondary Practice Location 1

Location 11968 Peachtree Rd., NWAtlanta, GA 30309-1281 · Phone (404) 351-1745 · Fax (404) 351-7121

Other Identifiers 1

Medicaid100000335AGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aleksandr Fedovskiy Paaa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799839767
PECOS Enrollment IDI20090811000377

Hospital Affiliations CMS Care Compare 3

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

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas 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.

Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Obstetrics & Gynecology
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Registered Nurse (Administrator)
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Nurse Anesthetist, Certified Registered
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Hospitalist
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Emergency Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Internal Medicine
1133 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281

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 Aleksandr Fedovskiy's NPI number?

The NPI number for Aleksandr Fedovskiy is 1346224763. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Aleksandr Fedovskiy located?

Aleksandr Fedovskiy practices at 1133 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (678) 604-1053.

What is Aleksandr Fedovskiy's specialty?

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

Is Aleksandr Fedovskiy enrolled in Medicare?

Yes. Aleksandr Fedovskiy is registered in the Medicare PECOS enrollment system.

What insurance does Aleksandr Fedovskiy accept?

Health plans from Alliant Health Plans, Inc. list Aleksandr Fedovskiy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Aleksandr Fedovskiy affiliated with any hospitals?

According to CMS data, Aleksandr Fedovskiy is affiliated with Southern Regional Medical Center, Wellstar Douglas Medical Center and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Aleksandr Fedovskiy was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.