ADVANCED CENTER FOR JOINT SURGERY, LLC (NPI# 1447753173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447753173 |
| Entity Type | Organization |
| Organization Name | ADVANCED CENTER FOR JOINT SURGERY, LLC |
| Other Organization Name | NORTHSIDE ADVANCED JOINT SURGERY CENTER, LLC |
| Practice Address |
2000 Howard Farm Drive Suite T100 Cumming GA 30041-3004 |
| Mailing Address |
1100 Johnson Fy Rd Ne Bldg II Atlanta GA 30342-1709 |
| Practice Telephone | 4708399200 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-16 |
| Authorized Official Name | JORGE J. HERNANDEZ (VP ADMIN SRVS./CCO) |
| Authorized Official Telephone | 4048516378 |
| 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 |
|---|---|
| Northside Advanced Joint Surgery Center, LLC | Former Legal Business Name - Organization |
| Street Address |
2000 HOWARD FARM DRIVE SUITE T100 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696529 | North Atlanta Ear, Nose & Throat Surgical Center, LLC | Clinic/Center | 4150 Deputy Bill Cantrell Memorial Dr, Ste 160, Cumming, GA 30040 | 2017-08-23 |
| 1639148380 | Northwoods Surgery Center LLC | Clinic/Center | 1230 Bald Ridge Marina Rd, Suite 8, Cumming, GA 30041 | 2006-03-15 |
| 1649746090 | Forsyth Eye Surgery Center, LLC | Clinic/Center | 1034 Haw Creek Circle, Suite 200, Cumming, GA 30041-6513 | 2018-10-23 |
| 1780199356 | Georgia Urology Asc Cumming | Clinic/Center | 4150 Deputy Bill Cantrell Memorial Road, Suite 140a, Cumming, GA 30040 | 2017-12-05 |
| 1497105803 | Georgia Interventional Pain - C, LLC | Clinic/Center | 1200 Bald Ridge Marina Rd, Suite 160, Cumming, GA 30041-8526 | 2016-06-16 |
| 1780075861 | Roswell Eye Surgery Center, LLC | Clinic/Center | 970 Sanders Rd, Suite 100, Cumming, GA 30041-5979 | 2015-02-11 |
| 1578837258 | North Atlanta Eye Surgery Center LLC | Clinic/Center | 970 Sanders Rd, Suite 200, Cumming, GA 30041-5979 | 2012-02-28 |
| 1013120336 | Forsyth Surgical Center | Clinic/Center | 634 Peachtree Pkwy, Ste. 100, Cumming, GA 30041-9782 | 2007-05-07 |
| 1659451078 | Academy Orthopedics, LLC | Clinic/Center | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-10-17 |
| 1174580518 | Reena A Yonkosky, Md PC | Clinic/Center | 110 Samaritan Dr., Suite 101, Cumming, GA 30040 | 2006-04-28 |
| Find all providers in CUMMING | ||||
Please comment or provide details below to improve the information on ADVANCED CENTER FOR JOINT SURGERY, LLC.
| 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.