Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376337089 Individual Practitioner Female Practitioner

Tanielia T Campbell

Anesthesiologist Assistant • Kennesaw, GA

Professional Overview & Biography Verified Profile Summary

Tanielia Campbell is a certified Anesthesiologist Assistant practicing in Kennesaw, GA. With approximately 1 years of clinical experience since completing medical education in 2025, Tanielia Campbell delivers high-quality medical care to the local community at 1300 RIDENOUR BLVD NW STE 300.

Tanielia Campbell is affiliated with Mak Anesthesia Holdings, Llc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1300 Ridenour Blvd Nw Ste 300

Kennesaw, GA 301524402

Telephone 7707021806
Associated Practice Facility / Clinic
🏢 Mak Anesthesia Holdings Llc Facility NPI 1912452939

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Kennesaw, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -7.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Kennesaw, GA (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Campbell (1 Years) 1 Yrs
Kennesaw Specialty Average (8.3 Years) 8.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-21
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License GA 13669

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.

Hospital & Practice Group Affiliations

Mak Anesthesia Holdings, Llc

3950 Austell Rd, Austell, GA 301061121

Phone: 7707021806

Secondary Practice Locations

3950 Austell Rd

Austell, GA 301061121

Phone: 7707021806

434 Waterbury Way

Douglasville, GA 301346079

Phone: 6467033376

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bethany Buice

Anesthesiologist Assistant

NPI 1073913653
Dr. Tod Rubin , DO

Anesthesiology

NPI 1083677314

Doctor of Osteopathic Medicine (D.O.)

NPI 1083872782

Doctor of Medicine (M.D.)

Juanita Joseph

Nurse Anesthetist, Certified Registered

NPI 1114756772
NPI 1134182728

Doctor of Medicine (M.D.)

Kaeli Dailey

Anesthesiologist Assistant

NPI 1134778939

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 21, 2026

Registered at 1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 301524402 (Tel: 7707021806)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2026

Anesthesiologist Assistant (License #13669 in GA)

NPI Profile Active April 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2025

Registered at 434 WATERBURY WAY, DOUGLASVILLE, GA 301346079 (Tel: 6467033376)

📍
Updated Business Mailing Address April 07, 2025

Registered at 434 WATERBURY WAY, DOUGLASVILLE, GA 301346079 (Tel: 6467033376)

👤
Provider Name / Credentials Updated April 07, 2025

Recorded as TANIELIA CAMPBELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376337089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2025
Last Update: January 21, 2026
Sole Proprietor: No

Mailing Address

434 Waterbury Way

Douglasville, GA 301346079

Phone: 6467033376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.