OrganizationActive
Physician'S Anesthesia Services, L.L.C.
NPI 1144588955 · Certified Registered Nurse Anesthetist · Locust Grove, GA
Provider details
- NPI number
- 1144588955
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Aruna Prakash, Administrator(770) 692-0100
- License
- 12003075 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone: (770) 692-0100
Fax: (843) 357-4940
Street-level locationGet directions
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2014-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.