NPIMap

Organization Active NPI

Kare ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1225675812
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KARE ASC, LLC
Practice address
4165 Old Milton Pkwy Ste 150B
Alpharetta, GA 30005-4477
Phone
(678) 878-4555
Fax
(678) 878-4556
NPI assigned
Dec 3, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. Amish Tilara, MDNPI 1912221359
Title
Medical Director
Phone
(678) 878-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4165 Old Milton Pkwy Ste 150B
Alpharetta, GA 30005-4477

Mailing address

600 Professional Dr Ste 160a
Lawrenceville, GA 30046-8717
Phone (678) 878-4555

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
11D2175344Kare ASC, LLC4165 Old Milton Parkway, Suite 150 B, Alpharetta, GA 30005Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

4165 Old Milton Pkwy
Ste 150B
Alpharetta, GA 30005
Phone (678) 878-4555

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1225675812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PROFESSIONAL DR STE 160A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468717",
            "telephone_number": "678-878-4555",
            "fax_number": "678-878-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 OLD MILTON PKWY STE 150B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054477",
            "telephone_number": "678-878-4555",
            "fax_number": "678-878-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "TILARA",
        "authorized_official_first_name": "AMISH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-878-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.