NPIMap

Organization Active NPI

Prima Ambulatory Surgical Services

  • Ambulatory Surgical Clinic/Center
  • Duluth, GA
National Provider Identifier
1740528934
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRIMA AMBULATORY SURGICAL SERVICES
Practice address
3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918
Phone
(770) 495-1477
Fax
(770) 495-1488
NPI assigned
Jan 22, 2013
Organization subpart
Yes
Parent organization
PRIMA CENTER FOR PLASTIC SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Jeffrey Zwiren, MD
Title
Owner
Phone
(770) 495-1477

Specialties & licenses 1

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

Addresses

Primary practice location

3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918

Mailing address

3096 Peachtree Industrial Blvd
Duluth, GA 30097-7918

National Provider Directory

National Provider Directory
Tax ID family
Prima Center for Plasti2 organizations share this tax ID, including this one
Part of
Prima Center for Plasti

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1740528934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3096 PEACHTREE INDUSTRIAL BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977918",
            "telephone_number": "770-495-1477",
            "fax_number": "770-495-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA AMBULATORY SURGICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMA CENTER FOR PLASTIC SURGERY",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "ZWIREN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-495-1477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.