ATLANTA SPORTS MEDICINE SURGERY CENTER (NPI# 1225179716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225179716 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPORTS MEDICINE SURGERY CENTER |
| Practice Address |
3200 Downwood Cir Nw Suite 670 Atlanta GA 30327-1610 |
| Practice Telephone | 4043524500 |
| Practice Fax Number | 4046939005 |
| Mailing Telephone | 4043524500 |
| Mailing Fax Number | 4046939005 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT DALE GILLOGLY (PRESIDENT) |
| Authorized Official Telephone | 4043524500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
GA | Ambulatory Health Care Facilities |
| Street Address |
3200 DOWNWOOD CIR NW SUITE 670 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30327-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708929 | Novamed Management Services LLC | Clinic/Center | 3200 Downwood Cir Nw, Ste 200, Atlanta, GA 30327-1610 | 2005-05-23 |
| 1679185342 | Carmen Bradshaw | Nurse Practitioner | 3200 Downwood Cir Nw, Atlanta, GA 30327-1610 | 2020-08-23 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| 1174072383 | Pamela Lyman | Nurse Practitioner | 3200 Downwood Cir Nw, Suite 220, Atlanta, GA 30327-1610 | 2016-09-28 |
| 1811357502 | Stacey Dawn Tatroe | Nurse Practitioner | 3200 Downwood Cir Nw, Ste 550, Atlanta, GA 30327-1624 | 2016-02-24 |
| 1528425360 | Clark Laser & Cosmetic Dermatology, LLC | Dermatology | 3200 Downwood Cir Nw, Suite 360, Atlanta, GA 30327-1610 | 2016-01-25 |
| 1831554765 | Atlanta Knee and Shoulder Clinic PC | Non-Pharmacy Dispensing Site | 3200 Downwood Cir Nw, Suite 410, Atlanta, GA 30327-1610 | 2015-12-18 |
| 1699143131 | Atlanta Center for Endodontics, P.C. | Clinic/Center | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1407224991 | Melanie Burns | Dentist | 3200 Downwood Cir Nw, Suite 205, Atlanta, GA 30327-1610 | 2015-09-14 |
| 1770963993 | Ansley Mccarter | Physical Therapist | 3200 Downwood Cir Nw, Suite 350, Atlanta, GA 30327-1610 | 2015-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388730 | Brand New Start Treatment Center- Paulding LLC | Clinic/Center | 311 Wi Pkwy, Suite 500, Dallas, GA 30327 | 2020-02-14 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| 1336636174 | One Group LLC | In Home Supportive Care | 3150 Howell Mill Road, Atlanta, GA 30327 | 2018-04-17 |
| 1609313949 | Michelle Perry | Specialist/Technologist | 4075 Paces Ferry Road Nw, Atlanta, GA 30327 | 2017-01-25 |
| 1447706981 | Cailey Ann Binkley | Counselor | 4200 Northside Parkway, Building 7, Atlanta, GA 30327 | 2016-08-25 |
| 1902256555 | Carlos Alberto Prays | Family Medicine | 3200 Downwood Cir Nw Ste 200, Atlanta, GA 30327 | 2016-06-14 |
| 1851793210 | Laura Goydich Rhein | Anesthesiologist Assistant | 3193 Howell Mill Rd Nw Ste 100, Atlanta, GA 30327 | 2014-09-17 |
| 1699115451 | Jeffrey Alan Bernstein | Obstetrics & Gynecology | 655 Widgeon Lane, Atlanta, GA 30327 | 2013-06-26 |
| 1053755207 | Thomas Windrow Marks | Orthopaedic Surgery | 1011 West Paces Ferry Rd.n.w., Atlanta, GA 30327 | 2013-04-18 |
| 1245572643 | Valerie Lananh Truong | Dermatology | 3193 Howell Mill Rd Nw Ste 220, Atlanta, GA 30327 | 2013-03-23 |
| Find all providers in zip 30327 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862389 | Pediatric and Adult Surgery Center of Atlanta LLC | Clinic/Center | 2061 Peachtree Rd Ne Ste 300-a, Atlanta, GA 30309-1447 | 2018-08-22 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1316435779 | Summit Surgery Center of Buckhead LLC | Clinic/Center | 2045 Peachtree Rd Ne Ste T2, Atlanta, GA 30309-1405 | 2018-05-01 |
| 1679007108 | Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc | Clinic/Center | 601 Pryor St Sw, Atlanta, GA 30312 | 2017-04-11 |
| 1295288751 | Plastic Head and Neck Surgery Institute | Clinic/Center | 5730 Glenridge Dr Ste T150, Atlanta, GA 30328-5872 | 2016-08-01 |
| 1659755692 | The Spine Institute of Peachtree Neurosurgery, LLC | Clinic/Center | 1150 Hammond Dr Ste E600, Atlanta, GA 30328-8604 | 2015-07-18 |
| 1831576891 | Advanced Surgery Center Perimeter, LLC | Clinic/Center | 1100 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342-1733 | 2015-04-29 |
| 1841459211 | Aasc, LLC | Clinic/Center | 4200 Northside Pkwy Nw Bldg 8, Atlanta, GA 30327-3054 | 2008-06-02 |
| 1922131770 | Northside Womens Clinic Inc | Clinic/Center | 3543 Chamblee Dunwoody Road, Atlanta, GA 30341-2454 | 2007-03-13 |
| 1780715219 | Gyn Resources, Inc | Clinic/Center | 987 Chattahoochee Ave Nw, Suite A, Atlanta, GA 30318-3701 | 2007-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.