Alpharetta Mohs Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALPHARETTA MOHS SURGICAL CENTER

Practice address

3330 Preston Ridge Rd
Suite 260
Alpharetta, GA 30005-4508

Phone

(404) 446-3200

Fax

(404) 446-3201

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Katarina Lequeux-Nalovic, M.D.NPI 1124137351

Title

Medical Director/Chairmain

Phone

(404) 446-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Alpharetta Mohs Surgical CenterCCN 11C0001475

Medicare certification status

ActiveFrom the Provider of Services file

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": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1497286223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD",
            "address_2": "SUITE 260",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054508",
            "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": "3330 PRESTON RIDGE RD",
            "address_2": "SUITE 260",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054508",
            "telephone_number": "404-446-3200",
            "fax_number": "404-446-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA MOHS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "LEQUEUX-NALOVIC",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CHAIRMAIN",
        "authorized_official_telephone_number": "404-446-3200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, 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 Jul 28, 2017; 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.