NPI age
11 years
Enumerated 2014-10-22
● Active Type 2 · Organization
Blue Water Anesthesia, Llc
Blue Water Anesthesia, Llc is 1 of 2157 nurse anesthetist, certified registered organizations in Georgia.
Primary specialty
Nurse Anesthetist, Certified Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gaynes
Registered Agent
Last NPPES update
2015-01-26
Source: monthly bulk 2026-05
How this organization compares
Across 2157 active nurse anesthetist, certified registered providers in Georgia.
NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-10Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2175 North Rd
Snellville, GA 300782630
Mailing address
Po Box 700
Snellville, GA 300780700
Authorized official
Bruce Gaynes
Registered Agent
📞 4044677526
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Andy James, CRNA Nurse Anesthetist, Certified Registered NPI 1972883023
- Angel Jimenez, D.P.M. Podiatrist NPI 1023012929
- Kristine Mycroft, DMD Dentist NPI 1972097541
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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