SOUTHEASTERN SURGICAL CENTER (NPI# 1144388174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144388174 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN SURGICAL CENTER |
| Practice Address |
1100 Johnson Ferry Road Suite 200 Atlanta GA 30342 |
| Practice Telephone | 4042571900 |
| Practice Fax Number | 4042570792 |
| Mailing Telephone | 4042571900 |
| Mailing Fax Number | 4042570792 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | MR. H RON H DAVIDSON (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Telephone | 4044593473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PERMIT | 060079 | 01 |
| Street Address |
1100 JOHNSON FERRY ROAD SUITE 200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336108190 | Carlene W. Elsner | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-21 |
| 1225316268 | Aesthetic Surgery Associates | Clinic/Center | 1100 Johnson Ferry Road, Suite 850, Atlanta, GA 30342 | 2011-07-25 |
| 1275755712 | Meghan K Nicolini Phd PC | Psychologist | 1100 Johnson Ferry Road, Bldg 2 Suite 1090, Atlanta, GA 30342-1709 | 2007-05-03 |
| 1154445898 | Southeastern Endocrine Laboratory, Inc. | Clinical Medical Laboratory | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2007-03-19 |
| 1083772016 | Reproductive Biology Associates | Specialist | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-12-04 |
| 1407870843 | Andrew A Toledo | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-07-27 |
| 1700846821 | Dorothy E. Mitchell-leef | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-24 |
| 1225098346 | Robert J. Straub | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-24 |
| 1689634719 | Michael A. Witt | Urology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-24 |
| 1508826629 | Daniel B. Shapiro | Obstetrics & Gynecology | 1100 Johnson Ferry Road, Suite 200, Atlanta, GA 30342 | 2006-03-24 |
| 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 | 261QA0006X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Fertility Facility |
| A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928031 | Sharon Harley, Md., P.C. | Clinic/Center | 1800 Peachtree St Nw, Suite 450, Atlanta, GA 30309-2519 | 2005-11-01 |
| 1356331797 | Sharon Harley,md., P.C. | Clinic/Center | 1800 Peachtree St Nw, Suite 450, Atlanta, GA 30309-2519 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083994339 | We Care of Mableton Inc. | Clinic/Center | 6313 Allen Rd Sw, Mableton, GA 30126-4400 | 2011-08-18 |
| 1053598284 | The Clinic for All / La Clinica De Todos, LLC | Clinic/Center | 1795 Washington Rd, East Point, GA 30344-4149 | 2008-01-30 |
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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.