Organization Active NPI

Graivier Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1154999282
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GRAIVIER SURGERY CENTER
Practice address
3333 Old Milton Pkwy Ste 260
Alpharetta, GA 30005-4626
Phone
(770) 772-0695
NPI assigned
Jun 15, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Regina Iannamico, RN
Title
Administrator
Phone
(770) 772-0695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

3333 Old Milton Pkwy Ste 260
Alpharetta, GA 30005-4626

Mailing address

3333 Old Milton Pkwy Ste 260
Alpharetta, GA 30005-4626
Phone (770) 772-0695

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1154999282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 260",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054626",
            "telephone_number": "770-772-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 OLD MILTON PKWY STE 260",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054626",
            "telephone_number": "770-772-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAIVIER SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "IANNAMICO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-772-0695",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.