Active NPI
The Surgical Suite, Inc
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
National Provider Identifier
1629154752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 060112
- Legal business name
- THE SURGICAL SUITE, INC
- Practice address
- 5555 Peachtree Dunwoody Rd NE
Suite 180
Atlanta, GA 30342-1703 - Phone
- (404) 256-4457
- Fax
- (404) 969-0683
- NPI assigned
- Oct 31, 2006
- 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
- Dr. Edmond I. Griffin, M.D.
- Title
- Medical Director
- Phone
- (404) 256-4457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 060112 | GA | Primary |
Addresses
Primary practice location
5555 Peachtree Dunwoody Rd NE
Suite 180
Atlanta, GA 30342-1703
Mailing address
5555 Peachtree Dunwoody Rd NE
Suite 180
Atlanta, GA 30342-1703
Phone (404) 256-4457
Other names 1
- Dermatology Associates of Atlanta, PC
National Provider Directory
National Provider DirectoryLocations
5555 Peachtree Dunwoody Rd
Ste 180
Sandy Springs, GA 30342
Phone (404) 256-4457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629154752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 180",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421703",
"telephone_number": "404-256-4457",
"fax_number": "404-969-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 180",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421703",
"telephone_number": "404-256-4457",
"fax_number": "404-969-0683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SURGICAL SUITE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "EDMOND",
"authorized_official_middle_name": "I.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "404-256-4457",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "060112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatology Associates of Atlanta, PC",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.