Active NPI
Orthoatlanta Surgery Center of Austell, LLC
- Ambulatory Surgical Clinic/Center
- Austell, GA
National Provider Identifier
1053632372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ORTHOATLANTA SURGERY CENTER OF AUSTELL, LLC
- Practice address
- 3672 Marathon Circle
Suite 120
Austell, GA 30106-6821 - Phone
- (678) 945-8551
- Fax
- (678) 945-8549
- NPI assigned
- Jun 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Linda Terhark
- Title
- Administrator
- Phone
- (678) 945-8551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3672 Marathon Circle
Suite 120
Austell, GA 30106-6821
Mailing address
3672 Marathon Circle
Suite 120
Austell, GA 30106-6821
Phone (678) 945-8551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110208000199 | GA | Part B Supplier - Ambulatory Surgical Center | 9436339587 | Practice locations: Austell, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Orthoatlanta Surgery Center of Austell LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2009996 | Orthoatlanta Surgery Center Austell, LLC | Certificate of waiver | Jul 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
3672 Marathon Cir
#120
Austell, GA 30106
Phone (678) 945-8551
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Austell, GA
- NPI 1225249519
-
- Orthopaedic Surgery Physician
- Austell, GA
- NPI 1881697803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1053632372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3672 MARATHON CIRCLE",
"address_2": "SUITE 120",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066821",
"telephone_number": "678-945-8551",
"fax_number": "678-945-8549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3672 MARATHON CIRCLE",
"address_2": "SUITE 120",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301066821",
"telephone_number": "678-945-8551",
"fax_number": "678-945-8549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOATLANTA SURGERY CENTER OF AUSTELL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-21",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "TERHARK",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-945-8551",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.