WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC (NPI# 1477560340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477560340 |
| Entity Type | Organization |
| Organization Name | WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC |
| Practice Address |
6002 Professional Parkway Suite 260 Douglasville GA 30134 |
| Practice Telephone | 7709424822 |
| Practice Fax Number | 7709425311 |
| Mailing Telephone | 7709424822 |
| Mailing Fax Number | 7709425311 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6002 PROFESSIONAL PARKWAY SUITE 260 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629094750 | Bi-county Ent, LLC | Otolaryngology | 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 | 2006-07-14 |
| 1265574610 | Orthoatlanta, LLC | Physical Medicine & Rehabilitation | 6002 Professional Parkway, Suite 140, Douglasville, GA 30134 | 2007-02-13 |
| 1508871468 | Georgia Cancer Specialists I PC | Internal Medicine | 6002 Professional Parkway, Suite 200, Douglasville, GA 30134-5600 | 2006-07-29 |
| 1881612133 | Vivek Kumar Gupta | Otolaryngology | 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1548822901 | Sweet Resolve LLC | Nurse Practitioner | 4318 Ridge Rd, Ste 111 Pmb 1017, Douglasville, GA 30134 | 2019-07-05 |
| 1598328791 | Straight Street Life Center Inc | Case Manager/Care Coordinator | 12461 Veterans Memorial, Douglasville, GA 30134 | 2019-04-15 |
| 1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
| 1861901050 | Michelle Denise Winston | Licensed Practical Nurse | 6497 E Strickland, Douglasville, GA 30134 | 2017-09-20 |
| 1518335843 | Willis Anthony Rogers | Durable Medical Equipment & Medical Supplies | 7094 Rose Lake Circle, Douglasville, GA 30134 | 2015-09-03 |
| 1497135131 | Patricia Warren | Social Worker | 8317 Office Park Drive Ste.#e, Douglasville, GA 30134 | 2015-06-08 |
| 1457747321 | Kidz Rock Therapy Services, LLC | Occupational Therapist | 6732 West Spring Street, Douglasville, GA 30134 | 2015-04-08 |
| 1386068476 | Naa Y Oden | Psychologist | 4813 Ridge Rd Ste 111-639, Douglasville, GA 30134 | 2014-02-10 |
| 1467893271 | American Ems | Ambulance | 7240 Bankhead Hwy, Douglasville, GA 30134 | 2013-07-09 |
| Find all providers in zip 30134 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235435629 | Chen Nan Wu | Surgery | 8820 Campbellton St, Douglasville, GA 30134-2203 | 2011-02-01 |
| 1710072319 | Ateeqahmed Siddiqhussain Patel | Surgery | 4406 Grassland Court, Douglasville, GA 30135 | 2006-10-03 |
| 1144293598 | William A Griffith | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1828 | 2006-02-08 |
| 1164404620 | Anurag D Tiwary | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135 | 2005-11-18 |
| 1639533896 | Wellstar Medical Group, LLC | Surgery | 8954 Hospital Dr, Douglasville, GA 30134-2272 | 2016-04-13 |
| 1619234150 | Brian Reeves Giles | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135-1831 | 2012-04-23 |
| 1164715132 | Wellstar Medical Group, LLC | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1828 | 2011-05-24 |
| 1811181456 | General Surgical Associates, PC | Surgery | 8954 Hospital Dr, Suite 100 B, Douglasville, GA 30134-2272 | 2007-08-28 |
| 1295893873 | Ganesh Pranshankar Pandya | Surgery | 4904 Timber Ridge Dr, Suite 104, Douglasville, GA 30135-1826 | 2006-12-05 |
| 1598779977 | James Patrick Brannon | Surgery | 4904 Timber Ridge Dr Ste 104, Douglasville, GA 30135 | 2006-07-28 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30134 |
Please comment or provide details below to improve the information on WELLSTAR DOUGLAS SURGICAL ASSOCIATES, LLC.
| 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.