Ahs Surgery Center Canton LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Canton, GA
NPI 1225457948 · NPPES record last updated Apr 9, 2014
Key facts
- NPI
- 1225457948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- AHS SURGERY CENTER CANTON LLC
- Practice address
- 201 Kimberly Way
Suite 100
Canton, GA 30114 - Phone
- (770) 333-7888
- Fax
- (770) 333-7889
- NPI assigned
- Apr 9, 2014
- Organization subpart
- No
Authorized official
- Name
- Viralkumar Patel, MD
- Title
- Ceo
- Phone
- (770) 333-7888
Member organizations 7
Practitioners 69
-
Timothy Gordon Barton, CRNA
-
Peter A. Beverly, CRNA
-
Chelsey Coneway, DNP
-
Ashley W Crocker, CRNA
-
Amber Marie Edward, CRNA
-
Kathleen Hurlbut Gangl, CRNA
-
Jennifer L Hayes, CRNA
-
Courtney C Larson, CRNA, FNP-C
-
Katelyn E Longacre, CRNA
-
John Mestas, CRNA
-
Amrish Patel, M.D.
-
Kim Leigh Sockwell, CRNA
-
Aaron Stein, CRNA
-
Tayler Alyse Walker, CRNA
-
Peixin Wang, CRNA
-
Erika Lynn Bendetti, DNP, CRNA
-
Heather Burt, CRNA
-
Jessica W Coker, CRNA
-
Christopher W Cox, CRNA
-
Kathleen A Foley, CRNA
-
Jessica Ginn, CRNA
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Ahs Surgery Center Canton LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2076515 | Ahs Surgery Center Canton, LLC | Certificate of waiver | Apr 21, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140812000706 | GA | Part B Supplier - Ambulatory Surgical Center | 6103043377 |
Receives reassigned benefits from 29 practitioners Practice locations: Canton, GA |
National Provider Directory
Locations
201 Kimberly Way
Ste 100
Canton, GA 30114
3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
201 Kimberly Way
Suite 100
Canton, GA 30114
Mailing address
3968 Felton Hill Rd SW
Suite 100
Smyrna, GA 30082-3512
Phone (770) 333-7888
Other providers in Canton, GA
- Advanced Wound and Ostomy Solutions
- Aegis Group Practice LLC
- Lauren Galbraith Agee
- Khizer Khurshid Ahmad
- Maida Imtiaz Ahmad
- Mohammed Jaafar Atta Al Fayyadh
- Tamim Mohamad Al-Kharrat
- Francheska Desravines Alcide
- Guimy Alexis
- Birmaji Ali
All providers in Canton, GA · Ambulatory Surgical Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.