P Praxis·MD
● Active Type 2 · Organization

Blue Water Anesthesia, Llc

Nurse Anesthetist, Certified Registered·Snellville, GA· NPI 1801291646 · Enumerated 2014 · 11 years on NPI
Blue Water Anesthesia, Llc is 1 of 2157 nurse anesthetist, certified registered organizations in Georgia.
NPI age
11 years
Enumerated 2014-10-22
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
📞 7709790900fax 7709792852
Mailing address
Po Box 700
Snellville, GA 300780700
📞 7709790900

Authorized official

Bruce Gaynes
Registered Agent
📞 4044677526

Individual providers at this organization

3 individual providers on file at this primary practice address.

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...
    GA license #RN191954 taxonomy 367500000X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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