OrganizationActive
Mak Anesthesia Decatur LLC
NPI 1720409147 · Anesthesiology Physician · Decatur, GA
Provider details
- NPI number
- 1720409147
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Weigandt, President(770) 702-1806
- License
- 51609 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1457 Scott Blvd
Decatur, GA 30030-1425
Phone: (404) 292-2500
Street-level locationGet directions
Mailing address
1635 Old 41 Highway Nw, Suite 112-328
Kennesaw, GA 30152
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2016-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.