SURGICAL EVOLUTION LLC (NPI# 1144864844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144864844 |
| Entity Type | Organization |
| Organization Name | SURGICAL EVOLUTION LLC |
| Practice Address |
4516 Collins Ave Atlanta GA 30342-4125 |
| Practice Telephone | 4048031178 |
| Mailing Telephone | 4048031178 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | MR. BENJAMIN BRITTEN CHANDLER (MANAGING MEMBER) |
| Authorized Official Telephone | 4048031178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4516 COLLINS AVE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-4125 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1407473002 | Unite Medical, LLC | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1955, Atlanta, GA 30339-6401 | 2020-06-30 |
| 1215550793 | Amber Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 3103 Clairmont Road, Suite A, Atlanta, GA 30329-1043 | 2020-05-19 |
| 1477173276 | Pillowsheets, LLC | Durable Medical Equipment & Medical Supplies | 2445 Church Rd Se, Atlanta, GA 30339-1967 | 2020-04-21 |
| 1700414729 | All Nations Dme | Durable Medical Equipment & Medical Supplies | 751 Fairburn Rd Sw Apt 4303, Atlanta, GA 30331-8557 | 2020-03-27 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1952931628 | Richard Damon Reed | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1953, Atlanta, GA 30339-6401 | 2020-01-22 |
| 1376180257 | Celebrity Fashion Hair Inc | Durable Medical Equipment & Medical Supplies | 3350 Riverwood Pkwy Se Ste 1951, Atlanta, GA 30339-6401 | 2019-12-10 |
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1316594948 | Spinal Supply Partners LLC | Durable Medical Equipment & Medical Supplies | 1440 Chipley St Ne, Atlanta, GA 30307-2815 | 2019-08-19 |
| 1063073047 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 725 Ponce De Leon Ave Ne, Atlanta, GA 30306-4329 | 2019-06-21 |
| 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.