CLINICAL SUPPORT SYSTEMS, LLC (NPI# 1912147661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912147661 |
Entity Type | Organization |
Organization Name | CLINICAL SUPPORT SYSTEMS, LLC |
Practice Address |
303 Parkway Dr Ne Suite 417 Atlanta GA 30312-1212 |
Practice Telephone | 7707859201 |
Practice Fax Number | 7706021603 |
Mailing Telephone | 7707859201 |
Mailing Fax Number | 7706021603 |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |
Authorized Official Name | ROBERT D REDDING (PRESIDENT) |
Authorized Official Telephone | 7707859201 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
303 PARKWAY DR NE SUITE 417 |
City | ATLANTA |
State | GA |
Zip Code | 30312-1212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730188368 | Rhonda Latrice Martin | Pharmacist | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2005-07-15 |
1275162075 | Derek Stephen Duey | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-04-03 |
1659909018 | Blake Thor Bendixen | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1239 | 2020-03-31 |
1902433246 | Tom John Albunian Mayuga | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-03-25 |
1114558889 | Parie Jared | Emergency Medicine | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2020-01-30 |
1548808827 | Sarah Deslate | Nurse Anesthetist, Certified Registered | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-12-17 |
1639714686 | Nicolai Pineda | Physician Assistant | 303 Parkway Dr Ne, Atlanta, GA 30312-1239 | 2019-11-14 |
1659915510 | Jason Madariaga Cuaresma | Pharmacist | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-11-04 |
1770143398 | Ga U Kim | Anesthesiologist Assistant | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-06-17 |
1396302584 | Noah Dessalegn | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Atlanta, GA 30312-1212 | 2019-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
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Taxonomy Code | 246ZS0410X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Surgical Technologist |
Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316139694 | Mario Luque | Specialist/Technologist, Other | 3078 Clairmont Rd Ne Apt 522, Atlanta, GA 30329-1666 | 2007-08-10 |
1053453035 | Omni Surgical, Inc | Specialist/Technologist, Other | 8409 Dunwoody Place, Building 4, Atlanta, GA 30350 | 2007-02-13 |
1497728406 | Vicki Lynn Moore | Specialist/Technologist, Other | 1409 Dunwoody Place, Atlanta, GA 30350 | 2006-02-09 |
1578536900 | William Christopher Swindle | Specialist/Technologist, Other | 6205 Barfield Rd Ne, St 250, Atlanta, GA 30328-4311 | 2006-02-08 |
1245628957 | Maryann Reuben | Specialist/Technologist, Other | 960 Johnson Ferry Rd Ne, Suite 120, Atlanta, GA 30342 | 2015-01-05 |
1629343397 | Jennifer S Lin | Specialist/Technologist, Other | 5673 Peachtree Dunwoody Rd Ne, Suite 750, Atlanta, GA 30342-1731 | 2012-03-14 |
1942500186 | Alberto Gonzalez | Specialist/Technologist, Other | 1800 Howell Mill Rd Nw, Ste 140, Atlanta, GA 30318-2538 | 2010-10-21 |
1811144751 | James Barker | Specialist/Technologist, Other | 980 Johnson Ferry Rd Ne, Suite 900, Atlanta, GA 30342-1626 | 2008-08-22 |
1023204344 | Barbara Evans | Specialist/Technologist, Other | 2001 Peachtree Rd Ne, Suite 705, Atlanta, GA 30309-1476 | 2007-09-20 |
1487854162 | Johanna J Clark | Specialist/Technologist, Other | 8409 Dunwoody Pl, Atlanta, GA 30350-3367 | 2007-07-20 |
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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.