Atlanta Surgery Center, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060169 Issued in GA

Legal business name

ATLANTA SURGERY CENTER, LTD

Doing business as

Atlanta Peachtree Dunwoody Center

Practice address

5505 Peachtree Dunwoody Rd NE
Suite 150
Atlanta, GA 30342-1705

Phone

(404) 847-0893

Fax

(404) 843-8664

NPI assigned

Apr 18, 2006

Last updated

May 22, 2012By 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

Don Liedtke

Title

Vice President

Phone

(615) 344-5507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Peachtree Dunwoody Center Doing business as

Member of 1

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

• Northside Hospital, Inc.

  dba Diagnostic Clinic Oncology Pharmacy

  • Community/Retail Pharmacy
  • Gainesville, GA
  • NPI 1326679150

  Member Of

  NPD member

Practitioners 1

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.

• Matthew J Glogowski, ATC

  • Athletic Trainer
  • Orange Park, FL
  • NPI 1104890409
  NPD

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1245295823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-847-0893",
            "fax_number": "404-843-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-847-0893",
            "fax_number": "404-843-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SURGERY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "060169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000374162A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Peachtree Dunwoody Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlanta Sports Medicine & Orthopaedic Center
• Atlanta Sports Medicine Surgery Center
• Atlanta Surgery & Trauma, P.C.
• Atlanta Surgery Associates LLC
• Atlanta Surgery Center LTD
• Atlanta Surgical Arts, P.C. (Radiance Surgery & Aesthetic Medicine)
• Atlanta Surgical Assistance
• Atlanta Surgicenter for Womens Choice
• Atlanta Telehealth
• Atlanta Therapy and Wellness, LLC

• Ambulatory Surgical Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 May 22, 2012; 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.