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MAK ANESTHESIA HOLDINGS LLC
NPI 1912452939
Anesthesiology in Kennesaw, GA

Active since August 19, 2016
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152(770) 702-1806(770) 693-0810 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2017, Oct 25, 2016, Aug 19, 2016 (3 updates tracked since 2016).

About Mak Anesthesia Holdings Llc NPPES

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

MAK ANESTHESIA HOLDINGS LLC (NPI 1912452939) is a healthcare organization registered as an anesthesiology in Kennesaw, Georgia and active in the NPI registry since August 2016. The organization lists Pamela Weigandt, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1912452939
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameMAK ANESTHESIA HOLDINGS LLC
Location Address1300 RIDENOUR BLVD NW STE 300Kennesaw, GA 30152-4402
Mailing Address1300 Ridenour Blvd Nw Ste 300Kennesaw, GA 30152-4402 · (770) 702-1806 · Fax (770) 693-8769
Phone(770) 702-1806
Fax(770) 693-0810
Organization SubpartNo
Authorized OfficialPamela WeigandtPresident And Ceo · (770) 702-1806
Enumeration DateAugust 19, 2016
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1912452939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1300 RIDENOUR BLVD NW STE 300, Kennesaw, GA 30152
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Mak Anesthesia Holdings Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

626

Medicare enrollment records show 626 clinicians reassign Medicare billing to Mak Anesthesia Holdings LLC, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 206 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Anesthesiology Assistant260
Certified Registered Nurse Anesthetist (CRNA)191
Anesthesiology159
Nurse Practitioner13
Pain Management2
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 626
Jordan Mcclendon, CAA
Anesthesiology Assistant
NPI 1447065537
1300 RIDENOUR BLVD SUITE 300
Kennesaw, GA 30152
(770) 693-0810
Same address
Shea Reynolds
Nurse Practitioner
NPI 1235728353
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Grant Doornbos, M.D.
Anesthesiology
NPI 1376785600
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Isabella Ricketts, M.D.
Anesthesiology
NPI 1558672782
1300 RIDENOUR BLVD NW MAK ANESTHESIA
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Jerry Todd, M.D.
Anesthesiology
NPI 1699041863
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 634-4215
✔ PECOSSame address
Melody Bolton
Anesthesiology Assistant
NPI 1104588839
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(985) 722-7993
✔ Accepts MedicareSame address
Stephanie Poteau, MD
Anesthesiology
NPI 1689171027
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Mya Williams, APRN
Nurse Practitioner
NPI 1831638006
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 693-0810
✔ PECOSSame address
Scott Bisch
Anesthesiology
NPI 1386230456
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(803) 257-7481
✔ PECOSSame address
Shana Bradley, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1548866114
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Jordan Burns, FNP
Nurse Practitioner
NPI 1922833193
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Tanielia Campbell
Anesthesiology Assistant
NPI 1376337089
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Anik Hayat, M.D.
Anesthesiology
NPI 1457665002
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOSSame address
Katelyn Longacre, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194161158
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Kaeli Mcdermott
Anesthesiology Assistant
NPI 1134778939
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Jordan Papp, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538892146
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Jessica Randall, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710553474
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ Accepts MedicareSame address
Pierce Sanders, AA
Anesthesiology Assistant
NPI 1669347092
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
Same address
Gregory Singleton, AA
Anesthesiology Assistant
NPI 1730903253
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 693-0810
Same address
Daisy Tambe Jean-Pierre, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174937320
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ Accepts MedicareSame address
See all 626 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 Mak Anesthesia Holdings LLC's NPI number?

The NPI number for Mak Anesthesia Holdings LLC is 1912452939. It was assigned to this organization in the NPPES registry on August 19, 2016.

Where is Mak Anesthesia Holdings LLC located?

Mak Anesthesia Holdings LLC is located at 1300 Ridenour Blvd NW Ste 300, Kennesaw, GA 30152. The listed phone number is (770) 702-1806.

What is Mak Anesthesia Holdings LLC's specialty?

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

Is Mak Anesthesia Holdings LLC enrolled in Medicare?

Yes. Mak Anesthesia Holdings LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mak Anesthesia Holdings LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 626 clinicians in 6 Medicare specialties reassign their Medicare billing to Mak Anesthesia Holdings 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 (260), Certified Registered Nurse Anesthetist (CRNA) (191) and Anesthesiology (159). Of these, 22 practice at this address and 206 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 Mak Anesthesia Holdings LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.