ENT SURGERY CENTER OF ATLANTA,LLC (NPI# 1750491205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750491205 |
| Entity Type | Organization |
| Organization Name | ENT SURGERY CENTER OF ATLANTA,LLC |
| Practice Address |
5673 Peachtree Dunwoody Rd Ne Suite 945 Atlanta GA 30342-1731 |
| Practice Telephone | 4042971334 |
| Practice Fax Number | 4049439691 |
| Mailing Telephone | 4042971334 |
| Mailing Fax Number | 4049439691 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DEBORAH KAY SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 4042971334 |
| Authorized Official Credential | R.N. |
| 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 |
5673 PEACHTREE DUNWOODY RD NE SUITE 945 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433387 | Diane Nykamp Mccorter | Pharmacist | 5673 Peachtree Dunwoody Rd Ne, Suite 490, Atlanta, GA 30342-1731 | 2005-08-10 |
| 1194160598 | Saint Josephs Medical Group | General Acute Care Hospital | 5673 Peachtree Dunwoody Rd Ne, Suite 675, Atlanta, GA 30342-1731 | 2013-04-30 |
| 1225370406 | Jenny Lynn Usherwood | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 330, Atlanta, GA 30342-1731 | 2013-03-26 |
| 1215288923 | Theresa Evelyn Mamah | Audiologist | 5673 Peachtree Dunwoody Rd Ne, Suite 150, Atlanta, GA 30342-1731 | 2012-09-21 |
| 1841565355 | Peachtree Nephrology PC | Internal Medicine | 5673 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-1731 | 2012-03-16 |
| 1629343397 | Jennifer S Lin | Specialist/Technologist, Other | 5673 Peachtree Dunwoody Rd Ne, Suite 750, Atlanta, GA 30342-1731 | 2012-03-14 |
| 1386930964 | Erica Petrosky Delaney | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 825, Atlanta, GA 30342-1731 | 2011-06-22 |
| 1568767721 | Barbra Seidman Rosing | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Suite 850, Atlanta, GA 30342-1731 | 2011-01-20 |
| 1588894430 | Anisa T Daftari | Physician Assistant | 5673 Peachtree Dunwoody Rd Ne, Ste150, Atlanta, GA 30342-1731 | 2009-07-24 |
| 1114162369 | Vainer & Vainer Nephrology | Specialist | 5673 Peachtree Dunwoody Rd Ne, Suite 420, Atlanta, GA 30342-1731 | 2008-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862389 | Pediatric and Adult Surgery Center of Atlanta LLC | Clinic/Center | 2061 Peachtree Rd Ne Ste 300-a, Atlanta, GA 30309-1447 | 2018-08-22 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1316435779 | Summit Surgery Center of Buckhead LLC | Clinic/Center | 2045 Peachtree Rd Ne Ste T2, Atlanta, GA 30309-1405 | 2018-05-01 |
| 1679007108 | Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc | Clinic/Center | 601 Pryor St Sw, Atlanta, GA 30312 | 2017-04-11 |
| 1295288751 | Plastic Head and Neck Surgery Institute | Clinic/Center | 5730 Glenridge Dr Ste T150, Atlanta, GA 30328-5872 | 2016-08-01 |
| 1659755692 | The Spine Institute of Peachtree Neurosurgery, LLC | Clinic/Center | 1150 Hammond Dr Ste E600, Atlanta, GA 30328-8604 | 2015-07-18 |
| 1831576891 | Advanced Surgery Center Perimeter, LLC | Clinic/Center | 1100 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342-1733 | 2015-04-29 |
| 1841459211 | Aasc, LLC | Clinic/Center | 4200 Northside Pkwy Nw Bldg 8, Atlanta, GA 30327-3054 | 2008-06-02 |
| 1922131770 | Northside Womens Clinic Inc | Clinic/Center | 3543 Chamblee Dunwoody Road, Atlanta, GA 30341-2454 | 2007-03-13 |
| 1780715219 | Gyn Resources, Inc | Clinic/Center | 987 Chattahoochee Ave Nw, Suite A, Atlanta, GA 30318-3701 | 2007-03-08 |
| Find all providers in ATLANTA | ||||
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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.