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BC Collective of Ga LLC

Organization Active NPI Clinic/Center · Atlanta, GA

NPI 1700746237 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1700746237
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
BC COLLECTIVE OF GA LLC
Practice address
8735 Dunwoody PL Ste R
Atlanta, GA 30350-2995
Phone
(302) 463-1527
NPI assigned
Nov 17, 2025
Organization subpart
No

Authorized official

Name
Dr. Saba Haq, MD NPI 1669460085
Title
President
Phone
(949) 463-0650

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 22

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (23 enrollments) in TX, GA, VA, WV, SC, NC, WI, NM, PA, MD, MS, CO, OH, FL, DE, MO, IL, MN, MI, NY, AZ, NE, WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20260120000257 TX Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 6 practitioners
Practice locations: Coppell, TX
O20260202001115 GA Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 8 practitioners
Practice locations: Atlanta, GA
O20260206002910 VA Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 4 practitioners
Practice locations: Richmond, VA
O20260209002986 WV Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Beckley, WV
O20260209003360 SC Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 4 practitioners
Practice locations: North Charleston, SC
O20260209003575 NC Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC
O20260216002200 WI Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Appleton, WI
O20260223001366 NM Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM
O20260224001055 PA Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 6 practitioners
Practice locations: Lancaster, PA
O20260224001434 MD Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 5 practitioners
Practice locations: Oakland, MD
O20260224001694 MS Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS
O20260224002095 CO Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 6 practitioners
Practice locations: Denver, CO
O20260224002245 OH Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 6 practitioners
Practice locations: North Canton, OH
O20260224003332 FL Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 7 practitioners
Practice locations: St Petersburg, FL
O20260226001148 DE Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Newark, DE
O20260227002684 MO Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Harrisonville, MO
O20260310000418 IL Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 5 practitioners
Practice locations: Springfield, IL
O20260311003424 MN Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 2 practitioners
Practice locations: Owatonna, MN
O20260312003350 MI Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 5 practitioners
Practice locations: Okemos, MI
O20260324000394 NY Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 7 practitioners
Practice locations: New York, NY
O20260326002642 AZ Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 3 practitioners
Practice locations: Prescott, AZ
O20260331001593 NE Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 4 practitioners
Practice locations: Lincoln, NE
O20260625004473 WA Part B Supplier - Clinic/Group Practice 7214414499 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

Tax ID family
BC Collective TX (3 organizations share this tax ID)

Locations

113 NE 2nd Ave
Miami, FL 33132

8840 Cypress Waters Blvd
Coppell, TX 75019
Phone (469) 524-1506

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0300X
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

8735 Dunwoody PL Ste R
Atlanta, GA 30350-2995

Mailing address

133 NE 2ND Ave Apt 1107
Miami, FL 33132-2910

Other practice location 1

5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Phone (855) 221-2642

Other providers in Atlanta, GA

All providers in Atlanta, GA · Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.