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BLUE WATER ANESTHESIA, LLC
NPI 1801291646
Nurse Anesthetist, Certified Registered in Snellville, GA

Active since October 22, 2014
2175 NORTH RD, SNELLVILLE, GA 30078(770) 979-0900(770) 979-2852 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Water Anesthesia, Llc NPPES

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

BLUE WATER ANESTHESIA, LLC (NPI 1801291646) is a healthcare organization registered as a nurse anesthetist, certified registered in Snellville, Georgia and active in the NPI registry since October 2014. The organization lists Bruce Gaynes, Registered Agent, as its authorized official.

NPPES Registry Identity

NPI1801291646
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameBLUE WATER ANESTHESIA, LLC
Location Address2175 NORTH RDSnellville, GA 30078-2630
Mailing AddressPo Box 700Snellville, GA 30078-0700 · (770) 979-0900
Phone(770) 979-0900
Fax(770) 979-2852
Organization SubpartNo
Authorized OfficialBruce GaynesRegistered Agent · (404) 467-7526
Enumeration DateOctober 22, 2014
Last NPPES UpdateJanuary 26, 2015
✔ NPI 1801291646 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 · RN191954
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.
2175 NORTH RD, Snellville, GA 30078
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. ANGEL LOUIS JIMENEZ D.P.M.
Podiatrist (Foot & Ankle Surgery)
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0900
GEORGIA AMBULATORY SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0900
A. LOUIS JIMENEZ, D.P.M., P.C.
Clinic/Center (Ambulatory Surgical)
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0900
DR. KRISTINE MYCROFT DMD
Dentist (General Practice)
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 284-9171
MR. ANDY JAMES CRNA
Nurse Anesthetist, Certified Registered
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0900
NORTH ROAD FAMILY DENTAL PC
Dentist (General Practice)
2175 NORTH RD
SNELLVILLE, GA 30078
Gwinnett County (770) 972-2000

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 Blue Water Anesthesia, LLC's NPI number?

The NPI number for Blue Water Anesthesia, LLC is 1801291646. It was assigned to this organization in the NPPES registry on October 22, 2014.

Where is Blue Water Anesthesia, LLC located?

Blue Water Anesthesia, LLC is located at 2175 North Rd, Snellville, GA 30078. The listed phone number is (770) 979-0900.

What is Blue Water Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Blue Water Anesthesia, LLC was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.