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PREMIER ANESTHESIA OF GEORGIA LLC
NPI 1811403207
Anesthesiology in Snellville, GA

Active since December 20, 2017
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Dec 20, 2017 (2 updates tracked since 2017).

About Premier Anesthesia Of Georgia Llc NPPES

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

PREMIER ANESTHESIA OF GEORGIA LLC (NPI 1811403207) is a healthcare organization registered as an anesthesiology in Snellville, Georgia and active in the NPI registry since December 2017. The organization lists Randy Walker, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1811403207
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePREMIER ANESTHESIA OF GEORGIA LLC
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address2655 Northwinds PkwyAlpharetta, GA 30009-2280 · (855) 220-3662
Phone(770) 979-0200
Organization SubpartNo
Authorized OfficialRandy WalkerVp Finance · (678) 690-7812
Enumeration DateDecember 20, 2017
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1811403207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
Also ListedAnesthesiologist AssistantTaxonomy 367H00000X
1700 MEDICAL WAY, Snellville, GA 30078
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Anesthesia Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

156

Medicare enrollment records show 156 clinicians reassign Medicare billing to Premier Anesthesia Of Georgia LLC, which bills Medicare for the services they deliver. Of these, 20 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Anesthesiology Assistant68
Anesthesiology49
Certified Registered Nurse Anesthetist (CRNA)36
Interventional Pain Management2
Nurse Practitioner1

Nearest to this location (20)

See all 156
Babatunde Famuyiwa, AA
Anesthesiology Assistant
NPI 1548606239
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ Accepts MedicareSame address
Michael Guerzon, AA
Anesthesiology Assistant
NPI 1194166918
1700 MEDICAL WAY ATTN: ANESTHESIA DEPARTMENT
Snellville, GA 30078
(770) 979-9996
Same address
Kelly Kencade-Pichon
Anesthesiology Assistant
NPI 1760180988
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Peter Kim
Anesthesiology Assistant
NPI 1457187163
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Mark Lumsden, CAA
Anesthesiology Assistant
NPI 1760103154
1700 MEDICAL WAY
Snellville, GA 30078
(707) 979-0200
Same address
Deanna Mcphail
Anesthesiology Assistant
NPI 1982975918
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
Same address
Phuong Nguyen
Anesthesiology Assistant
NPI 1417784471
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Bianca Patel
Anesthesiology Assistant
NPI 1194551127
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Ashley Pernett, NP
Nurse Practitioner
NPI 1790297075
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
✔ PECOSSame address
Stephanie Powell, AA
Anesthesiology Assistant
NPI 1205316189
1700 MEDICAL WAY ANESTHESIA DEPARTMENT
Snellville, GA 30078
(770) 979-9996
✔ Accepts MedicareSame address
Ky Tai Ruiz, AA, PA
Anesthesiology Assistant
NPI 1265148068
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Ermeyas Yehualashet
Anesthesiology Assistant
NPI 1073349551
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-0200
Same address
Annabel Flunker, A.A.
Anesthesiology Assistant
NPI 1558343277
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
Same address
Cristina Guldenschuh, A.A.
Anesthesiology Assistant
NPI 1457620056
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ Accepts MedicareSame address
Wayne Hutchens, M.D.
Anesthesiology
NPI 1154302750
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ PECOSSame address
Mary Lehner, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487635751
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
Same address
Purvesh Ronvelwala, AA
Anesthesiology Assistant
NPI 1629418884
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
Same address
Gary Siegel, M.D.
Anesthesiology
NPI 1548241151
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ PECOSSame address
Jeremy Sterling, PA
Anesthesiology Assistant
NPI 1033286067
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ Accepts MedicareSame address
David Stewart, M.D.
Anesthesiology
NPI 1730160144
1700 MEDICAL WAY
Snellville, GA 30078
(770) 979-9996
✔ PECOSSame address
See all 156 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Premier Anesthesia Of Georgia LLC's NPI number?

The NPI number for Premier Anesthesia Of Georgia LLC is 1811403207. It was assigned to this organization in the NPPES registry on December 20, 2017.

Where is Premier Anesthesia Of Georgia LLC located?

Premier Anesthesia Of Georgia LLC is located at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Premier Anesthesia Of Georgia LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Premier Anesthesia Of Georgia LLC enrolled in Medicare?

Yes. Premier Anesthesia Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Anesthesia Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 156 clinicians in 5 Medicare specialties reassign their Medicare billing to Premier Anesthesia Of Georgia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Anesthesiology Assistant (68), Anesthesiology (49) and Certified Registered Nurse Anesthetist (CRNA) (36). Of these, 20 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Anesthesia Of Georgia LLC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.