The Emory Clinic Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

044019 Issued in GA

Legal business name

THE EMORY CLINIC INC

Doing business as

Emory Clinic Ambulatory Surgery Center

Practice address

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Phone

(404) 778-4000

NPI assigned

Aug 15, 2006

Last updated

Mar 14, 2022By 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

Adam Tribbett

Title

Director

Phone

(404) 778-5294

Specialties & licenses 1

Addresses

Other names 1

• Emory Clinic Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• The Emory Clinic Inc

  dba The Emory Clinic LaGrange Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lagrange, GA
  • NPI 1285912600

  8820901408

  Same PAC ID
• The Emory Clinic Inc

  dba Emory Endoscopy Center at Decatur

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
  • NPI 1306472063

  8820901408

  Same PAC ID
• The Emory Clinic Inc

  dba Emory Orthopaedic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1346403854

  8820901408

  Same PAC ID
• The Emory Clinic Inc

  dba Emory Ambulatory Surgery Center at Spivey Station

  • Ambulatory Surgical Clinic/Center
  • Jonesboro, GA
  • NPI 1386165504

  8820901408

  Same PAC ID
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229

  8820901408

  Same PAC ID
• The Emory Clinic Inc

  dba Emory Ambulatory Surgery Center at Dunwoody, LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1811765902

  8820901408

  Same PAC ID
• The Emory Clinic Inc.

  dba Emory Aesthetic Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1023359627

  8820901408

  Same PAC ID
• The Emory Clinic Inc.

  dba Emory Ambulatory Surgery Center at Tucker

  • Ambulatory Surgical Clinic/Center
  • Tucker, GA
  • NPI 1952098667

  8820901408

  Same PAC ID

Listed as

Emory HealthcareCCN 11C0001006

Medicare certification status

ActiveFrom the Provider of Services file

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1295748531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMORY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-778-5294"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "044019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emory Clinic Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emory Clinic Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Cpai Group, Inc (Roots to Branches Psychological Services)
• The Darbery Group, LLC
• The Degrine Group, LLC (Mediquip Healthcare)
• The Distinguished Loc'D Doula LLC
• The Dunbar Foundation
• The Emory Clinic Inc (Emory Orthopaedic Surgery Center)
• The Emory Clinic Inc
• The Emory Clinic Inc (Emory Center for Pain Medicine)
• The Emory Clinic Inc (Emory Ambulatory Surgery Center at Dunwoody, LLC)
• The Emory Clinic Inc (Integrated Memory Care Clinic)

• 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 Mar 14, 2022; 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.