MR. CHARLES DANIEL KERVIN AA-C NPI 1053395269

NPI Information

  • NPI: 1053395269
  • Provider Name: MR. CHARLES DANIEL KERVIN, AA-C
  • Classification: Anesthesiologist Assistant - 367H00000X
  • Entity Type: Individual
  • Address: 80 JESSE HILL JR DR SE
    ANESTHESIA DEPT.
    ATLANTA, GA
    ZIP 30303
  • Phone: (404) 616-5519

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NPI Details

MR. Charles Daniel Kervin, AA-C is an anesthesiologist assistant in Atlanta, GA. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. MR. Charles Daniel Kervin, AA-C NPI is 1053395269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 JESSE HILL JR DR SE
ANESTHESIA DEPT.
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-5519

The enumeration date for this NPI number is 12/1/2005 and was last updated on 3/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367H00000XAnesthesiologist Assistant2342GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16877MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAGROUP
2S34069MEDICARE UPIN
3GP2991MEDICAIDSOUTH CAROLINA
4AA0005MEDICAIDSOUTH CAROLINA
5Q33435MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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