Active NPI
Woolfson Ambulatory Surgery Center, LLC
- Ophthalmologic Surgery Clinic/Center
- Atlanta, GA
National Provider Identifier
1477788727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- Legal business name
- WOOLFSON AMBULATORY SURGERY CENTER, LLC
- Practice address
- 800 Mount Vernon Hwy
Suite 100
Atlanta, GA 30328-4295 - Phone
- (404) 237-1770
- Fax
- (404) 237-6002
- NPI assigned
- May 15, 2009
- Last updated
- Jun 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan M. Woolfson, MD
- Title
- Ceo/Physician
- Phone
- (404) 237-6002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | Primary |
Addresses
Primary practice location
800 Mount Vernon Hwy
Suite 100
Atlanta, GA 30328-4295
Mailing address
800 Mount Vernon Hwy
Suite 120
Atlanta, GA 30328-4295
Phone (770) 804-1684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100617000197 | GA | Part B Supplier - Ambulatory Surgical Center | 3971633991 | Practice locations: Atlanta, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Woolfson Ambulatory Surgery Center LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1528154465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244073600000",
"number": "1477788727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MOUNT VERNON HWY",
"address_2": "SUITE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284295",
"telephone_number": "770-804-1684",
"fax_number": "770-804-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MOUNT VERNON HWY",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303284295",
"telephone_number": "404-237-1770",
"fax_number": "404-237-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOOLFSON AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-15",
"last_updated": "2009-06-04",
"status": "A",
"authorized_official_last_name": "WOOLFSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CEO/PHYSICIAN",
"authorized_official_telephone_number": "404-237-6002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic 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 Jun 4, 2009; 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.