MILTON HALL SURGERY CENTER (NPI# 1619004306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619004306 |
| Entity Type | Organization |
| Organization Name | MILTON HALL SURGERY CENTER |
| Practice Address |
2365 Old Milton Pkwy Suite 200 Alpharetta GA 30009-2140 |
| Practice Telephone | 7707401860 |
| Practice Fax Number | 6783472104 |
| Mailing Telephone | 7707401860 |
| Mailing Fax Number | 6783472104 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2010-11-30 |
| Authorized Official Name | DR. JEFFREY M GALLUPS (CEO) |
| Authorized Official Telephone | 7707401860 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
060-137 | GA | Ambulatory Health Care Facilities |
| Street Address |
2365 OLD MILTON PKWY SUITE 200 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733966 | Mary Catherine Nunziata | Nurse Practitioner | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30004-2140 | 2006-03-10 |
| 1083182919 | Milton Hall Management, LLC | Specialist | 2365 Old Milton Pkwy, Alpharetta, GA 30009-2140 | 2018-11-08 |
| 1841649498 | Amanda Brandino | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2016-06-05 |
| 1093185720 | Nicole Orcutt | Physician Assistant | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2015-10-07 |
| 1568840528 | Alpharetta Surgery Center | Clinic/Center | 2365 Old Milton Pkwy, Suite 100, Alpharetta, GA 30009-2140 | 2015-05-11 |
| 1619380508 | Sydney Cowing | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2014-06-09 |
| 1760743041 | Katherine Mcdonnell | Speech-Language Pathologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2012-06-04 |
| 1346524881 | Thomas Guerrein | Audiologist | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2011-10-03 |
| 1073822813 | Rolvin Charles Lentsch | Nurse Practitioner | 2365 Old Milton Pkwy, Suite 300, Alpharetta, GA 30009-2140 | 2010-09-28 |
| 1730497074 | Nasc Anesthesia | Specialist | 2365 Old Milton Pkwy, Alpharetta, GA 30009-2140 | 2010-09-21 |
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| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
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| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
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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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| 1568840528 | Alpharetta Surgery Center | Clinic/Center | 2365 Old Milton Pkwy, Suite 100, Alpharetta, GA 30009-2140 | 2015-05-11 |
| 1457758450 | Advanced Ambulatory Surgery Center, LLC | Clinic/Center | 12389 Crabapple Rd, Alpharetta, GA 30004-6328 | 2014-11-19 |
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| 1275542011 | North Crescent Surgery Center, L.L.C. | Clinic/Center | 11975 Morris Rd, Suite 160, Alpharetta, GA 30005-4419 | 2006-08-07 |
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| 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 |
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| City | ALPHARETTA |
| Zip Code | 30009 |
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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.