AVVC ANESTHESIA, LLC (NPI# 1982074431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982074431 |
Entity Type | Organization |
Organization Name | AVVC ANESTHESIA, LLC |
Practice Address |
600 Professional Dr Suite 160a Lawrenceville GA 30046-7651 |
Mailing Address |
1873 Royal Troon Ct Duluth GA 30097-5234 |
Practice Telephone | 6788784555 |
Enumeration Date | 2015-09-28 |
Last Update Date | 2015-09-28 |
Authorized Official Name | AMISH TILARA (PRESIDENT) |
Authorized Official Telephone | 9736328372 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
600 PROFESSIONAL DR SUITE 160A |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30046-7651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043211949 | Yazan Houssami | Psychiatry & Neurology | 600 Professional Dr, Ste 110, Lawrenceville, GA 30046-7651 | 2005-08-02 |
1720512635 | Avvc Medical, LLC | Clinic/Center | 600 Professional Dr, Lawrenceville, GA 30046-7651 | 2017-04-18 |
1942675640 | Atlanta Hand Therapy LLC | Occupational Therapist | 600 Professional Dr, Suite 100, Lawrenceville, GA 30046-7651 | 2015-12-07 |
1215302906 | Radius Surgery Center LLC | Clinic/Center | 600 Professional Dr, Suite 150, Lawrenceville, GA 30046-7651 | 2015-12-07 |
1538546114 | Atlanta Vascular and Vein Center, LLC | Clinic/Center | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2015-05-02 |
1427435007 | Avvsc Lawrenceville, LLC | Clinic/Center | 600 Professional Dr, Suite 160b, Lawrenceville, GA 30046-7651 | 2015-05-02 |
1912221359 | Amish Tilara | Radiology | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2010-03-14 |
1588897508 | Open Mri of Georgia, Inc | Radiology | 600 Professional Dr, Suite 100, Lawrenceville, GA 30045-7651 | 2009-08-25 |
1811152507 | Corinne F. Quinn M.d., P.C. | Internal Medicine | 600 Professional Dr, 130, Lawrenceville, GA 30045-7651 | 2008-07-23 |
1841498151 | Courtney C. Brooks Jr., M.d., P.C. | Internal Medicine | 600 Professional Dr, Suite 170, Lawrenceville, GA 30045-7651 | 2007-07-08 |
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1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1376060285 | Princeton Perinatal Institute | Clinic/Center | 3131 Princeton Pike Ste 100, Lawrenceville, NJ 08648-2201 | 2017-08-23 |
1699150797 | Franklin D Diaz, M.d., P.C. | Clinic/Center | 601a Professional Drive, Suite 225, Lawrenceville, GA 30046-3325 | 2015-07-30 |
1427435007 | Avvsc Lawrenceville, LLC | Clinic/Center | 600 Professional Dr, Suite 160b, Lawrenceville, GA 30046-7651 | 2015-05-02 |
1376935023 | Gastroenterology & Hepatology Specialists, LLC | Clinic/Center | 1670 Mckendree Church Rd, #800, Lawrenceville, GA 30043-4107 | 2015-03-03 |
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1619517968 | Carroll Total Healthcare,pc | Clinic/Center | 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041-7439 | 2020-01-14 |
1528601200 | Blued Consultant Solutions, LLC | Clinic/Center | 256 Rainbow Ln, Mcdonough, GA 30252-4839 | 2019-10-24 |
1316508815 | Atlanta Health Clinic LLC | Clinic/Center | 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 | 2019-06-25 |
1659880847 | Jones Medical and Educational Consultants | Clinic/Center | 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 | 2017-09-20 |
1477005593 | Hirenirali LLC | Clinic/Center | 12390 Beragio Pl, Alpharetta, GA 30004-4188 | 2016-10-25 |
1851840961 | Tele Doctor Direct Inc | Clinic/Center | 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 | 2016-09-30 |
1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
1831540236 | Upper Cervical Health Solutions LLC. | Clinic/Center | 590 Commerce Park Dr Se, Suite 115, Marietta, GA 30060-2741 | 2016-06-27 |
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City | LAWRENCEVILLE |
Zip Code | 30046 |
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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.