ATLANTA SURGICAL ASSISTANCE


Address: 105 Collier Rd Nw Ste 1080, Atlanta, GA 30309-1753
Phone: 4043522850

ATLANTA SURGICAL ASSISTANCE (NPI# 1336458280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336458280
Entity Type Organization
Organization Name ATLANTA SURGICAL ASSISTANCE
Practice Address 105 Collier Rd Nw Ste 1080
Atlanta
GA 30309-1753
Mailing Address 3466 Mark Hall Dr Ne
Marietta
GA 30062-5342
Practice Telephone 4043522850
Practice Fax Number 8883296432
Mailing Telephone 7705651276
Mailing Fax Number 8883296432
Enumeration Date 2010-09-27
Last Update Date 2010-09-27
Authorized Official Name JANET A DORTCH (PRESIDENT)
Authorized Official Telephone 4047972497
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN130308NP GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 105 COLLIER RD NW STE 1080
City ATLANTA
State GA
Zip Code 30309-1753

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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1205181229 Wienelmine Estime Nurse Practitioner 315 Blvd. N.e., #528, Amc/ Professional Buildings, Atlanta, GA 30312 2012-07-16
1265689665 Chelsea S Henson Nurse Practitioner 980 Johnson Ferry Rd Ste 660, Atlanta, GA 30342-1608 2008-08-27
1275725269 Rebecca Shan Baker Nurse Practitioner 740 Ferst Drive Nw, Atlanta, GA 30332-0470 2007-08-14
1568534188 Valerie L English Nurse Practitioner 2805 Metropolitan Pkwy Sw, Atlanta, GA 30315-7915 2006-11-15
1023010816 Nancy Lynn Saunders Nurse Practitioner 3114 Mercer University Dr, Suite 100, Atlanta, GA 30341-4144 2005-08-11
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1104382951 Chanda L Johnson Nurse Practitioner 550 Peachtree St Ne Ste 1275, Atlanta, GA 30308-2240 2019-02-18
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Competitor

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City ATLANTA
Zip Code 30309

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Dataset Information

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.

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