Georgia Surgical Center on Peachtree, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

077798LGB Issued in GA

Legal business name

GEORGIA SURGICAL CENTER ON PEACHTREE, LLC

Practice address

2061 Peachtree Rd NE Ste 100
Atlanta, GA 30309-1444

Phone

(404) 352-3522

Fax

(404) 601-1235

NPI assigned

Sep 26, 2006

Last updated

Dec 7, 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

Brenda Messick

Title

Ceo

Phone

(678) 528-1418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Georgia Surgical Center on Peachtree LLCCCN 11C0001155

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• S Houston Payne Jr., M.D.

  • Orthopaedic Hand Surgery Physician
  • Atlanta, GA
  • NPI 1811913643
  NPD
• Robert Howell, M.D.

  • Orthopaedic Hand Surgery Physician
  • Atlanta, GA
  • NPI 1326064809
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1437250248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091427",
            "telephone_number": "404-352-3522",
            "fax_number": "404-601-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091444",
            "telephone_number": "404-352-3522",
            "fax_number": "404-601-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SURGICAL CENTER ON PEACHTREE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "MESSICK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-528-1418"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "077798LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Sports Chiropractic
• Georgia State Diagnostics LLC
• Georgia State Medical Supply LLC
• Georgia State University Physical
• Georgia Surgical Arts Dental Implants & Oral Surgery LLC (Imperial Dental Implants & Oral Surgery)
• Georgia Surgical Professional Services, LLC
• Georgia Tech Sports Medicine and Rehab
• Georgia Therapeutic Interventions
• Georgia Therapy
• Georgia Therapy Associates

• 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 Dec 7, 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.