SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER (NPI# 1427083047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427083047 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER |
| Practice Address |
1140 Hammond Drive D 4140 Atlanta GA 30328 |
| Mailing Address |
1140 Hammond Drive D 4140 Atlanta GA 30328-5331 |
| Practice Telephone | 7705588501 |
| Practice Fax Number | 7705588512 |
| Mailing Telephone | 7705588501 |
| Mailing Fax Number | 7705588512 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | LUTHER C ROLLINS (PARTNER) |
| Authorized Official Telephone | 7705588501 |
| 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 |
========= | GA | Ambulatory Health Care Facilities |
| Street Address |
1140 HAMMOND DRIVE D 4140 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417077884 | Northside Pediatrics & Adolescent Medicine PC | Pediatrics | 1140 Hammond Drive, Suite E5250, Atlanta, GA 30328 | 2007-03-30 |
| 1942357983 | Southeastern Pain Specialists, P.C. | Anesthesiology | 1140 Hammond Drive, D 4190, Atlanta, GA 30328-5331 | 2007-01-04 |
| 1760582498 | Alan I Taranto | Internal Medicine | 1140 Hammond Drive, Suite 300, Atlanta, GA 30328-7274 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862389 | Pediatric and Adult Surgery Center of Atlanta LLC | Clinic/Center | 2061 Peachtree Rd Ne Ste 300-a, Atlanta, GA 30309-1447 | 2018-08-22 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1316435779 | Summit Surgery Center of Buckhead LLC | Clinic/Center | 2045 Peachtree Rd Ne Ste T2, Atlanta, GA 30309-1405 | 2018-05-01 |
| 1679007108 | Ear Nose and Throat Facial Plastics and Sleep Disorder Ascllc | Clinic/Center | 601 Pryor St Sw, Atlanta, GA 30312 | 2017-04-11 |
| 1295288751 | Plastic Head and Neck Surgery Institute | Clinic/Center | 5730 Glenridge Dr Ste T150, Atlanta, GA 30328-5872 | 2016-08-01 |
| 1659755692 | The Spine Institute of Peachtree Neurosurgery, LLC | Clinic/Center | 1150 Hammond Dr Ste E600, Atlanta, GA 30328-8604 | 2015-07-18 |
| 1831576891 | Advanced Surgery Center Perimeter, LLC | Clinic/Center | 1100 Johnson Fy Rd Ne Ste 300, Atlanta, GA 30342-1733 | 2015-04-29 |
| 1841459211 | Aasc, LLC | Clinic/Center | 4200 Northside Pkwy Nw Bldg 8, Atlanta, GA 30327-3054 | 2008-06-02 |
| 1922131770 | Northside Womens Clinic Inc | Clinic/Center | 3543 Chamblee Dunwoody Road, Atlanta, GA 30341-2454 | 2007-03-13 |
| 1780715219 | Gyn Resources, Inc | Clinic/Center | 987 Chattahoochee Ave Nw, Suite A, Atlanta, GA 30318-3701 | 2007-03-08 |
| 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.