ADVANCED UROLOGY SURGERY CENTER (NPI# 1376884585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376884585 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY SURGERY CENTER |
| Practice Address |
1557 Janmar Rd Ste 200 Snellville GA 30078 |
| Mailing Address |
1557 Janmar Rd Snellville GA 30078-5686 |
| Practice Telephone | 6783448900 |
| Practice Fax Number | 6786665201 |
| Mailing Telephone | 6783448900 |
| Mailing Fax Number | 6786665201 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | DR. JITESH VINOD PATEL (PRESIDENT) |
| Authorized Official Telephone | 6783448900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1557 JANMAR RD STE 200 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558021 | Amy Duffy Kingry | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2005-06-19 |
| 1184187395 | Sawyer Reed | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2019-04-13 |
| 1487196705 | John Ohanu | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078 | 2016-11-17 |
| 1831648443 | Morgann Harney | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-09-23 |
| 1609322197 | Jessica Michelle Sheppard | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-08-25 |
| 1457700403 | Hayden Sutherland Jagor | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-06-10 |
| 1518336023 | Amanda Lynn Swickard | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-09-15 |
| 1003291378 | Jason R Casey | Nurse Practitioner | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-07-28 |
| 1568842201 | Epris Pittman Cooper | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-06-08 |
| 1497168363 | Allison Meloni | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2014-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1205374022 | Georgia Ambulatory Surgery Center LLC | Clinic/Center | 2175 North Rd, Snellville, GA 30078-2630 | 2017-02-01 |
| 1922365808 | Gwinnett Advanced Surgery Center, LLC | Clinic/Center | 2131 Fountain Dr, Snellville, GA 30078-7024 | 2012-04-18 |
| 1013222926 | Carlin Vision Surgery Center LLC | Clinic/Center | 2347 Lenora Church Rd, Snellville, GA 30078-3232 | 2010-08-16 |
| 1205910528 | A. Louis Jimenez, D.p.m., P.C. | Clinic/Center | 2175 North Rd, Snellville, GA 30078-2630 | 2006-10-24 |
| 1992776306 | Gwinnett Center for Outpatient Surgery Lp | Clinic/Center | 2131 Fountain Dr, Snellville, GA 30078-2920 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| 1194283267 | Georgia Interventional Pain - E, LLC | Clinic/Center | 100 Liberty Blvd Ste 220, Canton, GA 30114-2852 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.