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

NPI Status: Active since October 22, 2014

Contact Information

2175 NORTH RD
SNELLVILLE, GA
ZIP 30078
Phone: (770) 979-0900
Fax: (770) 979-2852

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  • Organization
  • Nurse Anesthetist, Certified Registered

About BLUE WATER ANESTHESIA, LLC

This page provides the complete NPI Profile along with additional information for Blue Water Anesthesia, Llc, a provider established in Snellville, Georgia operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1801291646 assigned on October 2014. The practitioner's primary taxonomy code is 367500000X with license number RN191954 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Bruce Gaynes (Registered Agent)

NPI
1801291646
Provider Name
BLUE WATER ANESTHESIA, LLC
Entity Type
Organization
Location Address
2175 NORTH RD SNELLVILLE, GA 30078
Location Phone
(770) 979-0900
Location Fax
(770) 979-2852
Mailing Address
PO BOX 700 SNELLVILLE, GA 30078
Mailing Phone
(770) 979-0900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2014
Last Update Date
01-26-2015
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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

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN191954
License State
GA
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BRUCE GAYNES

Authorized Official Title
REGISTERED AGENT
Authorized Official Phone
(404) 467-7526

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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.
1801291646
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280149268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 4 + 9 + 2 + 6 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1801291646 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023012929DR. ANGEL LOUIS JIMENEZ D.P.M.
Individual
Podiatrist (Foot & Ankle Surgery)2175 NORTH RD
SNELLVILLE, GA 30078
(770) 979-0900
1205910528A. LOUIS JIMENEZ, D.P.M., P.C.
Organization
Clinic/Center (Ambulatory Surgical)2175 NORTH RD
SNELLVILLE, GA 30078
(770) 979-0900
1205374022GEORGIA AMBULATORY SURGERY CENTER LLC
Organization
Clinic/Center (Ambulatory Surgical)2175 NORTH RD
SNELLVILLE, GA 30078
(770) 979-0900
1982299764NORTH ROAD FAMILY DENTAL PC
Organization
Dentist (General Practice)2175 NORTH RD
SNELLVILLE, GA 30078
(770) 972-2000
1972883023MR. ANDY JAMES CRNA
Individual
Nurse Anesthetist, Certified Registered2175 NORTH RD
SNELLVILLE, GA 30078
(770) 979-0900
1972097541DR. KRISTINE MYCROFT DMD
Individual
Dentist (General Practice)2175 NORTH RD
SNELLVILLE, GA 30078
(770) 284-9171

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801291646, enumerated in the NPI registry as an "organization" on October 22, 2014

The provider is located at 2175 North Rd Snellville, Ga 30078 and the phone number is (770) 979-0900

This medical organization specializes in Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

This NPI record was last updated on October 22, 2014. 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].
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