Imani Anesthesia LLC
Nurse Anesthetist, Certified Registered in Conyers, GA. Organization (NPI-2).
NPI number1972270635
StatusActive
Last updated in NPPESOct 25, 2022
Details
- NPI
- 1972270635
- Entity type
- Organization (NPI-2)
- Legal business name
- Imani Anesthesia LLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Oct 25, 2022
- Last updated
- Oct 25, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
2053 Reflection Creek DrConyers, GA 30013-7423
Phone 678-371-9187
Mailing address
2053 Reflection Creek DrConyers, GA 30013-7423
Authorized official
Lisa Johnson
President
6783719187
Is something wrong?
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