WGUASC, LLC (NPI# 1922597517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922597517 |
| Entity Type | Organization |
| Organization Name | WGUASC, LLC |
| Practice Address |
150 Clinic Ave Ste 203 Carrollton GA 30117-4402 |
| Mailing Address |
150 Clinic Ave Ste 202 Carrollton GA 30117-4402 |
| Practice Telephone | 7078346988 |
| Practice Fax Number | 7708341090 |
| Mailing Telephone | 7708346988 |
| Mailing Fax Number | 7708341090 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | MR. MARC MORIN (ADMINISTRATOR) |
| Authorized Official Telephone | 6783907164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
150 CLINIC AVE STE 203 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391591 | West Georgia Center for Plastic Surgery, LLC | Clinic/Center | 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117-4465 | 2005-10-25 |
| 1780683490 | Metrocrest Surgery Center Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2005-07-15 |
| 1770019200 | Georgia Cataract and Eye Specialty Center LLC | Clinic/Center | 158 Clinic Ave, Suite B, Carrollton, GA 30117-4414 | 2017-05-03 |
| 1134663677 | Castle Hills Surgicare, LLC | Clinic/Center | 4221 Medical Pkwy, Building 100, Suite 100, Carrollton, TX 75010-4540 | 2016-12-16 |
| 1316233612 | Cpmsc Carrollton | Clinic/Center | 812 South Park Street, Suite 5-b, Carrollton, GA 30117 | 2011-06-24 |
| 1164619508 | Trinity Mc, LLC | Clinic/Center | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2007-10-01 |
| 1497897474 | Plastic Surgery Center of West Georgia | Clinic/Center | 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117-4465 | 2007-02-13 |
| 1306938550 | West Georgia Endoscopy Center | Clinic/Center | 160 Clinic Ave, Carrollton, GA 30117-4451 | 2006-09-28 |
| 1255434221 | Carrollton Orthopaedic Surgery Center | Clinic/Center | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2006-09-06 |
| 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 | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on WGUASC, 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.