ANDREA MARIE CHARNOCK CAA
NPI 1255104568
Anesthesiologist Assistant in Lawrenceville, GA

NPI Status: Active since October 30, 2023

Contact Information

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 312-1000
Fax: (678) 312-3282

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  • Individual
  • Female
  • Years of Experience 3
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About ANDREA CHARNOCK

This page provides the complete NPI Profile along with additional information for Andrea Charnock, a provider established in Lawrenceville, Georgia with a medical specialization in Anesthesiologist Assistant and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1255104568 assigned on October 2023. The practitioner's primary taxonomy code is 367H00000X with license number 11995 (GA). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1255104568
Provider Name
ANDREA MARIE CHARNOCK CAA
Gender
Female
Entity Type
Individual
Location Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Location Phone
(678) 312-1000
Location Fax
(678) 312-3282
Mailing Address
1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Mailing Phone
(678) 312-1000
Mailing Fax
(678) 312-3282
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
10-30-2023
Last Update Date
11-20-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11995
License State
GA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Andrea Charnock is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8325496474

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231129003080

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrea Charnock is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHSIDE HOSPITAL GWINNETT1000 MEDICAL CENTER BOULEVARD
LAWRENCEVILLE, GA 30046
(678) 312-1000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255104568
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105208512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 2 + 0 + 8 + 5 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1255104568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841266129MRS. M. CHRISTINE HARTLEY RD, LD, CDE
Individual
Dietitian, Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-6045
1588602189 NAREN LOGENDRA M.D.
Individual
Internal Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 714-2070
1912041294 ALISHA JILL HOLBROOK FNP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1720292063DR. JEFFREY EDWARD GREENWOOD MD
Individual
Emergency Medicine1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3317
1366628729DR. AMANDA PIERZCHALA M.D.
Individual
Emergency Medicine (Pediatric Emergency Medicine)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1104152065 ALLISON REINECKE HODGE CRNA
Individual
Nurse Anesthetist, Certified Registered1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1619245107GWINNETT HOSPITAL SYSTEM, INC.
Organization
Rehabilitation Hospital1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-1000
1457609257 SHAWNEKA D BRYAN NP-C
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1841482478DR. LANCE G. DASHER MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639196348MRS. PRISCILLA L. STOCKWELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1407907280 LAURA GILBERT MITCHELL NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3273
1811175458MRS. LISA ANN TRUBIA-SHAPIRO NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3272
1003171943 HEATHER GAIL KOTULA PAAA
Individual
Anesthesiologist Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905
1275873861MR. TIMOTHY NORMAN CARREGA NP
Individual
Nurse Practitioner (Family)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-3356
1316922354DR. ROBERT A EISENBERG MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1639154669DR. JOSEPH C FINLEY MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902881949DR. GORDON GOLDSTEIN MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1669450284DR. SANJAY RAJNI PATEL MD
Individual
Radiology (Diagnostic Radiology)1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4440
1902111719 EMILY M GASTON PTA
Individual
Physical Therapy Assistant1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(678) 312-4324
1285078006 LORRAINE E ENGLISH NP
Individual
Nurse Practitioner1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
(770) 963-9905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255104568, enumerated in the NPI registry as an "individual" on October 30, 2023

The provider is located at 1000 Medical Center Blvd Lawrenceville, Ga 30046 and the phone number is (678) 312-1000

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 3 years of experience.

The practitioner is affiliated to the following hospital(s): NORTHSIDE HOSPITAL GWINNETT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on October 30, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.