SOUTH ATLANTA MUA CENTER, LLC (NPI# 1639571532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639571532 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTA MUA CENTER, LLC |
| Practice Address |
541 Forest Pkwy Ste 14 Forest Park GA 30297-6144 |
| Mailing Address |
P.o. Box 1601 Phenix City AL 36867 |
| Practice Telephone | 8558807568 |
| Practice Fax Number | 8668379033 |
| Mailing Telephone | 8558807568 |
| Mailing Fax Number | 8668379033 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | DR. STEPHEN B COOPER (SOLE MEMBER) |
| Authorized Official Telephone | 8558807568 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
031143 | GA | Ambulatory Health Care Facilities |
| Street Address |
541 FOREST PKWY STE 14 |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-6144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144469115 | Atlanta Medical Professional Group | Surgery | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2009-02-13 |
| 1073057626 | South Atlanta Spine and Joint Center LLC | Chiropractor | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2016-12-15 |
| 1558767731 | Kayton Pharmacy LLC | Pharmacy | 541 Forest Pkwy, Suite 4, Forest Park, GA 30297-6144 | 2014-11-14 |
| 1790105740 | Chimedical Diagnostics, LLC | Chiropractor | 541 Forest Pkwy, Suite #14, Forest Park, GA 30297-6144 | 2014-04-17 |
| 1780017194 | Georgia Pain Physicians PC | Physical Medicine & Rehabilitation | 541 Forest Pkwy, Ste 14, Forest Park, GA 30297-6144 | 2013-08-21 |
| 1831447879 | Forest Park Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-08-23 |
| 1659629699 | Parkway Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-08-23 |
| 1093060659 | Parkway Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-07-19 |
| 1538414164 | Forest Park Professional Group LLC | Specialist | 541 Forest Pkwy, Forest Park, GA 30297-6144 | 2012-07-19 |
| 1346545696 | Georgia Pain Physicians, PC | Pharmacist | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2011-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730360264 | American Foot & Leg Specialists, P.C. | Clinic/Center | 425 Forest Pkwy Ste 103, Forest Park, GA 30297 | 2007-11-27 |
| 1518106681 | Georgia Surgical Centers South, Inc | Clinic/Center | 541 Forest Pkwy, Suite 14, Forest Park, GA 30297-6144 | 2009-02-13 |
| 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 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on SOUTH ATLANTA MUA CENTER, 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.