Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phoenix Anesthesia, LLC

Organization Certified Registered Nurse Anesthetist · NPI 1346645140

Phoenix Anesthesia, LLC provides Certified Registered Nurse Anesthetist services in Decatur, Georgia. Registered with an NPI since 2014.

In the registry since
2014
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

304 Mead Rd
Decatur, GA 30030-3625 Not confirmed with CMS for 12 years — call before visiting
Phone: (678) 592-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1346645140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jannine Deraney — Administrator · (678) 592-6633
NPI enumeratedOctober 23, 2014
Last updated in NPPESOctober 23, 2014
Mailing address304 Mead Rd, Decatur, GA 30030-3625

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