NPIMap

Organization Active NPI

Ahs Surgery Center Canton LLC

  • Ambulatory Surgical Clinic/Center
  • Canton, GA
National Provider Identifier
1225457948
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 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
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Viralkumar Patel, MDNPI 1083812523
Title
Ceo
Phone
(770) 333-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140812000706 GA Part B Supplier - Ambulatory Surgical Center 6103043377 Receives reassigned benefits from 29 practitioners
Practice locations: Canton, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ahs Surgery Center Canton LLCCCN 11C0001421
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2076515Ahs Surgery Center Canton, LLC201 Kimberly Way, Canton, GA 30114Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1225457948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 FELTON HILL RD SW",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823512",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KIMBERLY WAY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS SURGERY CENTER CANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRALKUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-333-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.