Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amnestic, LLC

Organization Anesthesiology Physician · NPI 1407116056

Amnestic, LLC is an Anesthesiology Physician in Austell, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (706) 660-8505
Fax: (706) 660-9390
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036450 (GA)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 036450 (GA)

Record details

NPI number1407116056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hani Sanusi — President · (706) 660-8505
NPI enumeratedMay 16, 2012
Last updated in NPPESOctober 12, 2012
Mailing address2500 Dallas Hwy Sw Ste 202, Box 160, Marietta, GA 30064-7505

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