Buckhead Mohs Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BUCKHEAD MOHS SURGICAL CENTER LLC

Practice address

3525 Piedmont Rd NE
Building 6, Suite 220
Atlanta, GA 30305-1578

Phone

(404) 446-3200

Fax

(404) 446-3201

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Katarina G Lequeux-Nalovic, MD, MPH, FAADNPI 1124137351

Title

Owner/Medical Director

Phone

(404) 446-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 11C0001374

Legal name

BUCKHEAD MOHS SURGICAL CENTER, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 1, 2010

Last certification

Jun 1, 2010

Ownership / control type

Proprietary

Facility address

3525 Piedmont Road, NE, Building 6, Suite 225
Atlanta, GA 30305

Locations

Practitioners 1

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

• Katarina Gabrielle Lequeux-Nalovic, M.D.

  • MOHS-Micrographic Surgery Physician
  • Alpharetta, GA
  • NPI 1124137351
  NPD Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1497077044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE",
            "address_2": "BUILDING 6, SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "404-446-3200",
            "fax_number": "404-446-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PIEDMONT RD NE",
            "address_2": "BUILDING 6, SUITE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051578",
            "telephone_number": "404-446-3200",
            "fax_number": "404-446-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD MOHS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "LEQUEUX-NALOVIC",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-446-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH, FAAD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Injury and Wellness Institute PC
• Buckhead Institute of Medicine & Rehabilitation Inc.
• Buckhead Internal Medicne
• Buckhead Medical LLC Dba Northalke Medical Group
• Buckhead Medical Solutions
• Buckhead Optics LLC
• Buckhead Periodontics, P.C.
• Buckhead Plastic Surgery
• Buckhead Podiatry Associates LLC
• Buckhead Primary Care, LLC

• 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 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.