NPIMap

Organization Active NPI

Polaris Center for Outpatient Spine Surgery

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
National Provider Identifier
1629462759
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
POLARIS CENTER FOR OUTPATIENT SPINE SURGERY
Practice address
1150 Hammond Dr.
BLDG E, Suite 600
Atlanta, GA 30328
Phone
(404) 256-2633
Fax
(404) 255-6532
NPI assigned
Mar 26, 2015
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Emily J Taylor
Title
Practice Manager
Phone
(404) 256-2633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X GA
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1150 Hammond Dr.
BLDG E, Suite 600
Atlanta, GA 30328

Mailing address

1150 Hammond Dr.
BLDG E, Suite 600
Atlanta, GA 30328
Phone (404) 256-2633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629462759. Details of each certification follow.

Ambulatory surgical center certification: CCN 11C0001444

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
POLARIS CENTER FOR OUTPATIENT SPINE SURGERY, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Dec 30, 2015
Last certification
Mar 8, 2018
Ownership / control type
Proprietary
Facility address
1150 E Hammond Drive, Suite 600
Atlanta, GA 30328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1629462759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR.",
            "address_2": "BLDG E, SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-2633",
            "fax_number": "404-255-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR.",
            "address_2": "BLDG E, SUITE 600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-256-2633",
            "fax_number": "404-255-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS CENTER FOR OUTPATIENT SPINE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-256-2633"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.