Provider Demographics
NPI:1972883023
Name:JAMES, ANDY (CRNA)
Entity type:Individual
Prefix:MR
First Name:ANDY
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 GRASSMEADE WAY
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2116
Mailing Address - Country:US
Mailing Address - Phone:404-784-9400
Mailing Address - Fax:
Practice Address - Street 1:2175 NORTH RD
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2630
Practice Address - Country:US
Practice Address - Phone:770-979-0900
Practice Address - Fax:770-979-2852
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-21
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN191954163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I434700Medicare PIN