Organization Active NPI

Quinones & Sanchez LLC

  • Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1356982730
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QUINONES & SANCHEZ LLC
Practice address
1215 Eagles Landing Pkwy Ste 105
Stockbridge, GA 30281-5084
Phone
(678) 633-2877
Fax
(478) 787-0006
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Mrs. Pia M Berks
Title
Administrator
Phone
(770) 378-2449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1215 Eagles Landing Pkwy Ste 105
Stockbridge, GA 30281-5084

Mailing address

1273 Metropolitan Ave SE Unit 17667
Atlanta, GA 30316-8009
Phone (678) 633-2877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213000350 GA Part B Supplier - Clinic/Group Practice 1658707534 Receives reassigned benefits from 1 practitioner
Practice locations: Lithonia, GA

National Provider Directory

National Provider Directory

Locations

1273 Metropolitan Ave SE
Unit 17667
Atlanta, GA 30316

145 Northpark Trl
Stockbridge, GA 30281
Phone (770) 389-1703

1215 Eagles Landing Pkwy
Ste 105
Stockbridge, GA 30281
Phone (678) 633-2877

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1356982730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 METROPOLITAN AVE SE UNIT 17667",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303168009",
            "telephone_number": "678-633-2877",
            "fax_number": "478-787-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 EAGLES LANDING PKWY STE 105",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815084",
            "telephone_number": "678-633-2877",
            "fax_number": "478-787-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINONES & SANCHEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "BERKS",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-378-2449",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.