NPIMap

Organization Active NPI

Atlanta Colon and Rectal Surgery, PA

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
National Provider Identifier
1356382865
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
ATLANTA COLON AND RECTAL SURGERY, PA
Practice address
5667 Peachtree Dunwoody Rd NE
Suite 330
Atlanta, GA 30342-1725
Phone
(404) 252-5669
Fax
(404) 252-9473
NPI assigned
Jun 8, 2006
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Sander Robert Binderow, MDNPI 1023086238
Title
Corporate Secretary
Phone
(404) 252-5669

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
Colon & Rectal Surgery Physician 208C00000X Primary

Addresses

Primary practice location

5667 Peachtree Dunwoody Rd NE
Suite 330
Atlanta, GA 30342-1725

Mailing address

5667 Peachtree Dunwoody Rd NE
Suite 330
Atlanta, GA 30342-1725
Phone (404) 252-5669

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
11D0874340Northside Atlanta Colon & Rectal Surgery-Atlanta5667 Peachtree Dunwoody Rd NE Ste 330, Atlanta, GA 30342Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1110
Atlanta, GA 30308
Phone (404) 221-1095

1700 Hospital South Dr
Ste 401
Austell, GA 30106
Phone (770) 948-0102

2675 N Decatur Rd
Ste 614
Decatur, GA 30033

5667 Ptree Dunwoody Rd NE
Ste 330
Sandy Springs, GA 30342
Phone (404) 252-5669

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1356382865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421725",
            "telephone_number": "404-252-5669",
            "fax_number": "404-252-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421725",
            "telephone_number": "404-252-5669",
            "fax_number": "404-252-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA COLON AND RECTAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "BINDEROW",
        "authorized_official_first_name": "SANDER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "404-252-5669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.