NORTHWEST GEORGIA ORTHOPAEDIC SURGERY CENTER, LLC (NPI# 1598767154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598767154 |
| Entity Type | Organization |
| Organization Name | NORTHWEST GEORGIA ORTHOPAEDIC SURGERY CENTER, LLC |
| Practice Address |
2550 Windy Hill Rd Se Ste 218 Marietta GA 30067-8665 |
| Practice Telephone | 7709538058 |
| Practice Fax Number | 7709510096 |
| Mailing Telephone | 7709538058 |
| Mailing Fax Number | 7709510096 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
033-108 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | 490003330 | 01 |
| GA | UNITED HEALTHCARE | 68-00052 | 01 |
| GA | AETNA H/POS | 853971 | 01 |
| GA | 00724028A | 05 | |
| GA | BLUE CROSS | 3309 | 01 |
| GA | AETNA PPO | 5951075 | 01 |
| Street Address |
2550 WINDY HILL RD SE STE 218 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971686 | Deborah M. Burton | Specialist | 2550 Windy Hill Rd Se, Ste 307, Marietta, GA 30067-8665 | 2005-06-08 |
| 1609202720 | Mak Anesthesia Nw LLC | Anesthesiology | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8665 | 2013-09-20 |
| 1477813954 | Monica Trechele Mcgowan | Nurse Practitioner | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2012-05-18 |
| 1457638652 | Arthur H. Mann | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2011-11-16 |
| 1952606907 | Georgia Pain Physicians, PC | Pharmacist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2011-01-24 |
| 1184936775 | Michael Allen Blakley | Massage Therapist | 2550 Windy Hill Rd Se, 215, Marietta, GA 30067-8665 | 2010-07-12 |
| 1467773812 | John Kevin Bires | Massage Therapist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-06-21 |
| 1255655403 | Juan He | Physician Assistant | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-03-17 |
| 1316277338 | Aisha Jenelle Mcknight Baron | Plastic Surgery | 2550 Windy Hill Rd Se, Suite # 312, Marietta, GA 30067-8665 | 2010-01-14 |
| 1346474905 | Gregory Alan Taylor | Chiropractor | 2550 Windy Hill Rd Se, 215, Marietta, GA 30067-8665 | 2009-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108845 | Marietta Advanced Surgery Center | Clinic/Center | 1371 Church Street Ext Ne Ste 100, Marietta, GA 30060-7913 | 2019-01-17 |
| 1700369071 | Alliance Surgery Center At Marietta, LLC | Clinic/Center | 400 Tower Rd Ne Ste 375, Marietta, GA 30060-9417 | 2018-09-12 |
| 1952814352 | Medici Surgical Center, LLC | Clinic/Center | 792 Church St Ne Ste 101, Marietta, GA 30060-7291 | 2017-11-08 |
| 1770004772 | Northwest Atlanta Vascular Care LLC | Clinic/Center | 711 Canton Rd Ne Ste 230, Marietta, GA 30060-8949 | 2017-06-29 |
| 1568864452 | Carpus Surgery Center LLC | Clinic/Center | 3775 Roswell Rd, Suite 275, Marietta, GA 30062-8836 | 2014-09-23 |
| 1881001758 | Asuch Surgery Center | Clinic/Center | 2285 Asquith Ave Sw, Suite 100, Marietta, GA 30008-6008 | 2014-07-12 |
| 1235559378 | Skin Cancer Specialists Surgery Center, LLC | Clinic/Center | 835 Cogburn Ave Nw, Suite 200, Marietta, GA 30060-1031 | 2014-04-16 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1750629325 | Premier Ambulatory Surgical Center, LLC | Clinic/Center | 211 Chicopee Dr Ne, Marietta, GA 30060-1269 | 2013-01-16 |
| 1639499627 | Georgia Urology, Pa | Clinic/Center | 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 | 2010-06-02 |
| Find all providers in MARIETTA | ||||
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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.