Ponce de Leon Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PONCE DE LEON SURGERY CENTER, LLC

Practice address

552 Ponce de Leon Ave NE
Atlanta, GA 30308-1806

Phone

(404) 343-2672

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Ebony Patterson-Settles

Title

Practice Administrator

Phone

(404) 343-2672

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1740738095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081806",
            "telephone_number": "404-343-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081806",
            "telephone_number": "404-343-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DE LEON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON-SETTLES",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-343-2672"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Galloway Pombo, WHNP
• Veronica Pomeranz, LPC
• Adam Pomerleau, M.D.
• Aisha Pompey
• Mario Carlos Ponce Alvarez, M.D.
• Ponce Dental Group, PC
• Ponce Dental Studio Buckhead, LLC
• Ponce Dental Studio LLC
• Ponce Infectious Disease Center Pharmacy
• Angelina Ponce

• Ambulatory Surgical Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 Feb 3, 2017; 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.