ORAL & MAXILLOFACIAL SURGERY CENTER OF ATHENS, LLC (NPI# 1699057810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699057810 |
| Entity Type | Organization |
| Organization Name | ORAL & MAXILLOFACIAL SURGERY CENTER OF ATHENS, LLC |
| Practice Address |
600 Oglethorpe Ave Suite 4 Athens GA 30606-2263 |
| Practice Telephone | 7065495033 |
| Practice Fax Number | 7065495059 |
| Mailing Telephone | 7065495033 |
| Mailing Fax Number | 7065495059 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |
| Authorized Official Name | DR. JONATHAN TOMLINSON (OWNER) |
| Authorized Official Telephone | 7065495033 |
| Authorized Official Credential | DMD, MD |
| 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 |
600 OGLETHORPE AVE SUITE 4 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-2263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780748855 | Albert Don Shackelford Jr. | Dentist | 600 Oglethorpe Ave, Suite 2, Athens, GA 30606-2263 | 2006-12-21 |
| 1609249903 | Classic City Orthodontics | Exclusive Provider Organization | 600 Oglethorpe Ave, Athens, GA 30606-2263 | 2015-11-09 |
| 1922208248 | Jonathan Tomlinson | Dentist | 600 Oglethorpe Ave, Suite 4, Athens, GA 30606-2263 | 2007-07-24 |
| 1669591947 | C. Tradd Harter | Dentist | 600 Oglethorpe Ave, Suite 3, Athens, GA 30606-2263 | 2007-03-28 |
| 1679627616 | Douglas C. Henson Jr. | Dentist | 600 Oglethorpe Ave, Suite 1, Athens, GA 30606-2263 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1649790171 | Athens Spine Procedural Center LLC | Clinic/Center | 1550 Timothy Rd Ste 103, Athens, GA 30606-7836 | 2017-06-26 |
| 1265709968 | Lumpkin Surgery Center | Clinic/Center | 1300 Crystal Hills Dr, Athens, GA 30606-5304 | 2011-11-23 |
| 1215115316 | Se Costal Laser Services, LLC | Clinic/Center | 2351 College Station Rd, Athens, GA 30605-3619 | 2008-01-31 |
| 1962453175 | The Surgery Center of Athens, LLC. | Clinic/Center | 105 N Meadows Dr, Athens, TN 37303-4172 | 2006-05-12 |
| 1033583836 | Advanced Gynecologic Surgery Center | Clinic/Center | 1000 Hawthorne Ave, Suite V, Athens, GA 30606-2168 | 2015-11-18 |
| 1700269354 | Southeast Ohio Surgical Suites, LLC | Clinic/Center | 20 University Estates Blvd, Suite 110, Athens, OH 45701-2869 | 2015-07-01 |
| 1801277819 | Hawthorne Surgery Center LLC | Clinic/Center | 1000 Hawthorne Ave, Suite U, Athens, GA 30606-2168 | 2015-06-16 |
| 1316290380 | Athens Surgery Center LLC | Clinic/Center | 105 N Meadows Dr, Athens, TN 37303-4172 | 2012-10-16 |
| 1508135658 | Surgery Center of Athens LLC | Clinic/Center | 2142 W Broad St, Suite 100, Athens, GA 30606-3546 | 2011-12-19 |
| Find all providers in ATHENS | ||||
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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.