Atlanta Minimally Invasive Gynecologic Surgery Center,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

045895 Issued in GA

Legal business name

ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC

Doing business as

Atlanta Minimally Invasive Gynecologic Surgery Center,LLC

Practice address

105 Collier Rd NW
Suite 1010
Atlanta, GA 30309-1710

Phone

(404) 355-4885

Fax

(404) 355-2210

NPI assigned

Feb 28, 2008

Last updated

Mar 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Freedom Mitchell

Title

Practice Manager

Phone

(404) 355-4885

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Minimally Invasive Gynecologic Surgery Center,LLC Doing business as

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1780853200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 1010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-355-4885",
            "fax_number": "404-355-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 1010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-355-4885",
            "fax_number": "404-355-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MINIMALLY INVASIVE GYNECOLOGIC SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "FREEDOM",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-355-4885"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "045895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA6300",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Minimally Invasive Gynecologic Surgery Center,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlanta Men's Clinic
• Atlanta Mental Health & Wellness LLC
• Atlanta Metropolitan Medical Services LLC
• Atlanta Midtown Gynecology 2 LLC
• Atlanta Midtown Gynecology, Inc
• Atlanta Mobile Pulmonary Rehab Inc.
• Atlanta Multi Specialty Group
• Atlanta Multi Specialty Group, PC
• Atlanta Nephrology Associates, P.C.
• Atlanta Neurlogical and Spine Institute,LLC

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.