KALOS SURGICAL ASSOCIATES LLC (NPI# 1619214343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619214343 |
| Entity Type | Organization |
| Organization Name | KALOS SURGICAL ASSOCIATES LLC |
| Practice Address |
5670 Peachtree Dunwoody Rd Ne Ste 910 Atlanta GA 30342-1699 |
| Practice Telephone | 4049636665 |
| Mailing Telephone | 4049636665 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. BENJAMIN COLLIN STONG (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 4049636665 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
54676 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5670 PEACHTREE DUNWOODY RD NE STE 910 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784080 | Scott Jeffrey Small | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1200, Atlanta, GA 30342 | 2005-07-19 |
| 1497006555 | Nsh Cancer Institute Professional Services A LLC | Durable Medical Equipment & Medical Supplies | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1215288378 | Nsh Cancer Institute Professional Services A LLC | Pharmacy | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2012-09-28 |
| 1376843003 | Northside Cardiology-electrophysiology, LLC | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 | 2010-10-28 |
| 1225277809 | Meghan Meyer Williams | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 920, Atlanta, GA 30342-1699 | 2009-02-05 |
| 1174761498 | Kelly Len Jackson | Registered Nurse | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2009-01-23 |
| 1982864443 | Karen D Cowan | Nurse Practitioner | 5670 Peachtree Dunwoody Rd Ne, Suite 880, Atlanta, GA 30342-1699 | 2008-06-09 |
| 1548444045 | Kelly Ann May | Internal Medicine | 5670 Peachtree Dunwoody Rd Ne, Suite 1100, Atlanta, GA 30342-1699 | 2007-12-20 |
| 1144412883 | Megan Christina Sweet | Physician Assistant | 5670 Peachtree Dunwoody Rd Ne, Suite 1000, Atlanta, GA 30342-1699 | 2007-08-16 |
| 1811187107 | Diana Derry | Audiologist | 5670 Peachtree Dunwoody Rd Ne, Suite 1280, Atlanta, GA 30342-1699 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417283094 | Arnold Zweig | Otolaryngology | 1100 Lake Hearn Dr Ne, Suite 410, Atlanta, GA 30342-1523 | 2009-11-02 |
| 1952568370 | Danny Jose Soares | Otolaryngology | 4553 N Shallowford Rd, Suite 20b, Atlanta, GA 30338-6408 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117469 | Southeast Regional Primary Care Corporation | Otolaryngology | 1707 Meadows Ln Ste C, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1023259454 | Facesfirst,llc | Otolaryngology | 1741 Patriots Way Nw, Kennesaw, GA 30152-4859 | 2009-03-15 |
| 1962652164 | The Nguyen Group | Otolaryngology | 5164 Buford Hwy Ne, Suite 100, Doraville, GA 30340-1105 | 2008-09-24 |
| 1063600914 | Atlanta Institute for Ent | Otolaryngology | 5745 Clarion St Ste B62, Cumming, GA 30040-0305 | 2007-10-04 |
| 1164552220 | Michael Edward Powell | Otolaryngology | 1702 Bent Pine Ln, Statham, GA 30666-2602 | 2007-03-07 |
| 1811961618 | Robinson W Schilling Jr. | Otolaryngology | 340 North Belair Rd, Evans, GA 30809 | 2006-02-16 |
| 1588637227 | Alan B Whitehouse | Otolaryngology | 340 N Belair Rd, Evans, GA 30809-3000 | 2006-02-13 |
| 1427041631 | Raymond Howard IIi | Otolaryngology | 107 John Maddox Drive, Rome, GA 30165-1494 | 2005-08-24 |
| 1366858185 | Enti Anesthesia, LLC | Otolaryngology | 1595 Highway 34 E, Newnan, GA 30265-2353 | 2014-07-02 |
| 1700042132 | Preston Leigh Imhof | Otolaryngology | 2675 N Decatur Rd, Suite 707, Decatur, GA 30033-6131 | 2008-08-05 |
| Find all providers with the same taxonomy | ||||
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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.