BUCKHEAD MOHS SURGICAL CENTER LLC (NPI# 1497077044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497077044 |
| Entity Type | Organization |
| Organization Name | BUCKHEAD MOHS SURGICAL CENTER LLC |
| Practice Address |
3525 Piedmont Rd Ne Building 6, Suite 220 Atlanta GA 30305-1578 |
| Practice Telephone | 4044463200 |
| Practice Fax Number | 4044463201 |
| Mailing Telephone | 4044463200 |
| Mailing Fax Number | 4044463201 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | DR. KATARINA G LEQUEUX-NALOVIC (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4044463200 |
| Authorized Official Credential | MD, MPH, FAAD |
| 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 |
| Street Address |
3525 PIEDMONT RD NE BUILDING 6, SUITE 220 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258975 | Michael Warren Bain | Psychiatry & Neurology | 3525 Piedmont Rd Ne, Bldg 6, Suite 210, Atlanta, GA 30305-1578 | 2005-07-08 |
| 1225582562 | Destination Greatness-georgia, LLC | Counselor | 3525 Piedmont Rd Ne, Building 7, Suite 300, Atlanta, GA 30305-1578 | 2016-08-03 |
| 1487907473 | Nancy Sineath Rank | Counselor | 3525 Piedmont Rd Ne, Building 8, Suite 102, Atlanta, GA 30305-1578 | 2012-10-16 |
| 1003168469 | Eleanor Mcmichael Stewart | Counselor | 3525 Piedmont Rd Ne, Piedmont Center, Bldg. 8, Suite 102, Atlanta, GA 30305-1578 | 2012-10-10 |
| 1952618605 | Brian D Katz | Physician Assistant | 3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, GA 30305-1578 | 2010-09-01 |
| 1073713277 | Atlanta Skin Cancer Specialists, P.C. | Clinic/Center | 3525 Piedmont Rd Ne, Building 6, Suite 220, Atlanta, GA 30305-1578 | 2007-07-25 |
| 1124137351 | Katarina Gabrielle Lequeux-nalovic | Dermatology | 3525 Piedmont Rd Ne, Building 6, Suite 220, Atlanta, GA 30305-1578 | 2006-08-30 |
| 1265475206 | Tracey C Wallace | Family Medicine | 3525 Piedmont Rd Ne, Bldg 7-601, Atlanta, GA 30305-1578 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
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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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| 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 |
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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.