ROCK BRIDGE SURGICAL INSTITUTE, LLC (NPI# 1942413943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942413943 |
| Entity Type | Organization |
| Organization Name | ROCK BRIDGE SURGICAL INSTITUTE, LLC |
| Practice Address |
2500 Hospital Blvd Suite 460 Roswell GA 30076-4975 |
| Mailing Address |
Po Box 100460 Atlanta GA 30384-0460 |
| Practice Telephone | 7704104661 |
| Practice Fax Number | 7704104664 |
| Mailing Telephone | 7704104661 |
| Mailing Fax Number | 7704104664 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET) |
| Authorized Official Telephone | 4698932153 |
| 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 |
2500 HOSPITAL BLVD SUITE 460 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748513 | Susanne Michele Hewitt | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2005-05-23 |
| 1447798715 | North Fulton Hearing Center LLC | Otolaryngology | 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 | 2017-02-07 |
| 1770941825 | Colorectal Pharmacy Inc | Pharmacy | 2500 Hospital Blvd, Suite 150-a, Roswell, GA 30076-4907 | 2016-02-03 |
| 1538403407 | North Fulton Pulmonary Specialists, LLC | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2012-11-16 |
| 1346596921 | Michele Poole Clark | Advanced Practice Midwife | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2012-08-01 |
| 1174888267 | Parvathi Rayudu | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2012-07-05 |
| 1588932669 | Georgia Spectrum Neurosurgical Specialists, LLC | Neurological Surgery | 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 | 2011-12-05 |
| 1083990501 | Georgia Gifts From Grace LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2011-10-28 |
| 1659664720 | Georgia North Fulton Healthcare Associates, LLC | Family Medicine | 2500 Hospital Blvd, Ste 340, Roswell, GA 30076-4977 | 2011-05-24 |
| 1255620159 | Bruce E Bosse Mdpc | Specialist | 2500 Hospital Blvd, Suite 440, Roswell, GA 30076-4907 | 2011-03-31 |
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|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
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| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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|---|---|---|---|---|
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| 1073594446 | Southeastern New Mexico Surgical Center, LLC | Clinic/Center | 113 E 19th St, Roswell, NM 88201-5151 | 2005-11-10 |
| 1346240751 | Roswell Center for Foot & Ankle Surgery, LLC | Clinic/Center | 1357 Hembree Rd Ste 100, Roswell, GA 30076-5710 | 2005-07-28 |
| 1912388976 | Roswell Pain Surgical Center | Clinic/Center | 1300 Upper Hembree Rd, Suite B, Roswell, GA 30076-0927 | 2015-06-16 |
| 1528339645 | The Graivier Center | Clinic/Center | 1295 Hembree Rd, Bldg. B, Suite 100, Roswell, GA 30076-5721 | 2012-01-20 |
| 1356672919 | Cpmsc Roswell, PC | Clinic/Center | 1295 Hembree Rd, Suite A-101, Roswell, GA 30076-5721 | 2010-01-21 |
| 1164664595 | Alpharetta Head and Neck Surgical Center, LLC | Clinic/Center | 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 | 2009-03-31 |
| 1720085277 | Roswell Surgery Center LLC | Clinic/Center | 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 | 2005-06-30 |
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|---|---|---|---|---|
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| 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 |
| 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 |
| 1194283267 | Georgia Interventional Pain - E, LLC | Clinic/Center | 100 Liberty Blvd Ste 220, Canton, GA 30114-2852 | 2019-03-07 |
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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.