Alliance Surgery Center at Woodstock, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLIANCE SURGERY CENTER AT WOODSTOCK, LLC

Practice address

300 Parkbrooke PL Ste 390
Woodstock, GA 30189-7209

Phone

(770) 929-9033

Fax

(770) 929-9092

NPI assigned

Sep 12, 2018

Last updated

Feb 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Beck

Title

Cfo

Phone

(404) 403-8310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Alliance Surgery Center at Woodstock LLCCCN 11C0001510

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Interventional Spine and Pain Mangement Center, PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Canton, GA
  • NPI 1720443252

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Christopher Cable, M.D.

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1558310151
  Medicare reassignment NPD
• Robin J. Fowler, MD

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1235185141
  Medicare reassignment NPD
• Jordan Lee Tate, M.D., MPH

  • Interventional Pain Medicine Physician
  • Jasper, GA
  • NPI 1508008079
  Medicare reassignment NPD

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1215410592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT 8082",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460001",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARKBROOKE PL STE 390",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897209",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SURGERY CENTER AT WOODSTOCK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-403-8310"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• All About Family Dentistry
• All About Kids, Inc.
• Ahliyah Allen
• John Alleva Jr.
• Alliance Spine and Physical Medicine
• Sharon Veronica Alpha, LMSW
• Karen Beth Alterman, DPT
• Chelsea Joyner Alumbaugh, RD, LD
• Kimberly D Alvarado-Bello
• Jill Alvarado, CCC-SLP

• Ambulatory Surgical Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.

Verify at the official NPI Registry.