CMS-1500 Box 24J / 33a • NPI
1649260738
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207L00000X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
5126 HOSPITAL DR NE, COVINGTON, GA, 30014-2566
✓ 9-Digit EDI 837 ZIP+4 (30014-2566)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649260738 (ADVANCED ANESTHESIA ASSOCIATES, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649260738 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ADVANCED ANESTHESIA ASSOCIATES, PC |
| Plain-English Specialty | Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: 207L00000X (Anesthesiology) |
| Certifying / Licensing Body | American Board of Anesthesiology (ABA) |
| Practice Location Address | 5126 HOSPITAL DR NE, COVINGTON, GA, 30014-2566 |
| Practice Telephone / Fax | Tel: (770) 478-9877 | Fax: (770) 478-2908 |
| Administrative Mailing Address | 405 ARROWHEAD BLVD, JONESBORO, GA, 30236-1254 |
| Enumeration & Last Sync | Enumerated: 2005-10-28 | CMS Record Updated: 2021-12-10 |
| Authorized Official | DANIEL WORLEY (OFFICE ADMINISTRATOR) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207L00000X)
What Does Taxonomy Code 207L00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ADVANCED ANESTHESIA ASSOCIATES, PC)
Typical CPT / Diagnostic Procedures:- General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
- Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
- Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
- Propofol, Sevoflurane, Rocuronium & Sugammadex
- Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208VP0000X — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine | State: GA | License: 208VP0000X | Primary: Secondary |
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: GA | License: 367500000X | Primary: Secondary |
367H00000X — Anesthesiologist AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Anesthesiologist Assistant | State: GA | License: 367H00000X | Primary: Secondary |
207L00000X — AnesthesiologyPlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: GA | License: 207L00000X | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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