NPIMap

Organization Active NPI

Specialty Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
National Provider Identifier
1386799609
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
060145 Issued in GA
Legal business name
SPECIALTY SURGERY CENTER, INC.
Practice address
5505 Peachtree Dunwoody Rd NE
Suite 645
Atlanta, GA 30342-1705
Phone
(404) 256-1500
Fax
(404) 256-2006
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Harvey Penfield Cole III, MD
Title
Owner Medical Director
Phone
(404) 256-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 060145 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd NE
Suite 645
Atlanta, GA 30342-1705

Mailing address

5505 Peachtree Dunwoody Rd NE
Suite 645
Atlanta, GA 30342-1705
Phone (404) 256-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 11C0001137

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SPECIALTY SURGERY CENTER, INC.
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 28, 1998
Last certification
Sep 11, 2014
Ownership / control type
Proprietary
Facility address
5505 Peachtree Dunwoody Rd., Suite 645
Atlanta, GA 30342

National Provider Directory

National Provider Directory

Locations

5505 Pchtrdnwdy
#640
Sandy Springs, GA 30342
Phone (404) 256-1400

5505 Peachtree Dunwoody Rd
Ste 645
Sandy Springs, GA 30342
Phone (404) 256-1500

Practitioners & affiliated clinicians

Practitioners 6

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1386799609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 645",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-256-1500",
            "fax_number": "404-256-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 645",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421705",
            "telephone_number": "404-256-1500",
            "fax_number": "404-256-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "PENFIELD",
        "authorized_official_title_or_position": "OWNER      MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-256-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "060145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.