Union Health Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UNION HEALTH SERVICES, LLC

Doing business as

Atrium Health Surgery Center Indian Trail

Practice address

6068 W Highway 74
Indian Trail, NC 28079-3591

Phone

(704) 821-5192

Fax

(704) 821-5193

NPI assigned

Oct 22, 2010

Organization subpart

Yes

Parent organization

UNION MEMORIAL REGIONAL MEDICAL CENTER, INCAs reported in NPPES

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

Authorized official

Name

Jamie Collett

Title

Administrator

Phone

(704) 821-5192

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atrium Health Surgery Center Indian Trail Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Union Health Services LLCCCN 34C0001177

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

Part of

Union Memorial Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Charlotte-Mecklenburg Hospital Authority

  • Orthopaedic Surgery Physician
  • Denver, NC
  • NPI 1477884302

  Member Of

  NPD member

Locations

Practitioners 1

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

• Melissa Ann Manners, CRNA

  • Certified Registered Nurse Anesthetist
  • Gastonia, NC
  • NPI 1750315255
  NPD

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1437459617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6068 W HIGHWAY 74",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793591",
            "telephone_number": "704-821-5192",
            "fax_number": "704-821-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6068 W HIGHWAY 74",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793591",
            "telephone_number": "704-821-5192",
            "fax_number": "704-821-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION MEMORIAL REGIONAL MEDICAL CENTER, INC",
        "enumeration_date": "2010-10-22",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-821-5192"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AS0132",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamie.collett@atriumhealth.org",
            "affiliation": "N",
            "address_1": "6068 W Highway 74",
            "city": "Indian Trail",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280793591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Surgery Center Indian Trail",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marleen Prychodko Traywick, FNP
• Wendy Jackson Truesdale, RPH
• George S. C. Tsai, M. D.
• Timothy Jerone Turner, DO
• Ubuntu Holistic Counseling & Consulting PLLC
• Union Health Services, LLC
• Union Physicians Network Inc
• Union Physicians Network Inc
• Union Physicians Network Inc
• Union Physicians Network Inc

• Ambulatory Surgical Clinic/Center in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.