The Emory Clinic Inc

Organization Active NPI Ambulatory Surgical Clinic/Center · Atlanta, GA

NPI 1295748531 · NPPES record last updated Mar 14, 2022

Key facts

NPI
1295748531
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
License
044019 (GA)
Legal business name
THE EMORY CLINIC INC
Practice address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone
(404) 778-4000
NPI assigned
Aug 15, 2006
Organization subpart
No

Authorized official

Name
Adam Tribbett
Title
Director
Phone
(404) 778-5294

Other NPIs with the same Medicare PAC ID 8

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

Practitioners 3,506

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 3,506

Medicare Care Compare: Ambulatory surgical center

Listed as
Emory Healthcare CCN 11C0001006
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090106000535 GA Part B Supplier - Ambulatory Surgical Center 8820901408 Practice locations: Atlanta, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 044019 GA Yes

Addresses

Primary practice location

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-5639

Other identifiers

IdentifierTypeStateIssuer
103640OtherGABLUE SHIELD OF GA
000359202AMedicaidGA

Other names

  • Emory Clinic Ambulatory Surgery Center Doing business as

Other providers in Atlanta, GA

All providers in Atlanta, GA · Ambulatory Surgical Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.