ALPHARETTA HEAD AND NECK SURGICAL CENTER, LLC (NPI# 1164664595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164664595 |
| Entity Type | Organization |
| Organization Name | ALPHARETTA HEAD AND NECK SURGICAL CENTER, LLC |
| Other Organization Name | ALPHARETTA HEAD AND NECK SURGICAL CENTER |
| Practice Address |
1360 Upper Hembree Rd Suite 202 Roswell GA 30076-1171 |
| Mailing Address |
5730 Glenridge Dr Ne Suite 220 Atlanta GA 30328-6141 |
| Practice Telephone | 4042567532 |
| Practice Fax Number | 4042528781 |
| Mailing Telephone | 4042567532 |
| Mailing Fax Number | 4042528781 |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | DR. ANDREW J DIAMOND (PRESIDENT) |
| Authorized Official Telephone | 4042567532 |
| Authorized Official Credential | MD |
| 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 |
| Other Name | Type Code |
|---|---|
| Alpharetta Head and Neck Surgical Center | Doing Business As Name - Organization |
| Street Address |
1360 UPPER HEMBREE RD SUITE 202 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928239 | Jennifer L. Tirino | Otolaryngology | 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1171 | 2005-10-31 |
| 1447698964 | Georgia Northside Ear, Nose and Throat, LLC | Otolaryngology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1171 | 2013-06-06 |
| 1699945311 | Thomas A. Johnson, Dds | Dentist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2008-03-10 |
| 1932312154 | Judy Spears | Audiologist | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1146 | 2007-05-07 |
| 1326251588 | Lesa Kagan | Audiologist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-05-07 |
| 1437290004 | Kshitij Vipin Majmundar | Specialist | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2007-02-08 |
| 1821144221 | Alpharetta Women's Specialists | Obstetrics & Gynecology | 1360 Upper Hembree Rd, Suite # 101, Roswell, GA 30076-1146 | 2007-01-26 |
| 1013071273 | Northside Ear, Nose & Throat, PC | Allergy & Immunology | 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1171 | 2006-12-21 |
| 1316032881 | Samuel Lorenzo | Emergency Medicine | 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1171 | 2006-10-03 |
| 1356443089 | Thomas Chacko | Allergy & Immunology | 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 | 2006-09-02 |
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| 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 |
| 1942413943 | Rock Bridge Surgical Institute, LLC | Clinic/Center | 2500 Hospital Blvd, Suite 460, Roswell, GA 30076-4975 | 2007-05-07 |
| 1720085277 | Roswell Surgery Center LLC | Clinic/Center | 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 | 2005-06-30 |
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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.