NPIMap

Organization Active NPI

The Emory Clinic Inc

Doing business as Emory Ambulatory Surgery Center at Dunwoody, LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
National Provider Identifier
1811765902
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE EMORY CLINIC INC
Doing business as
Emory Ambulatory Surgery Center at Dunwoody, LLC
Practice address
4555 N Shallowford Rd
Atlanta, GA 30338-6403
Phone
(404) 778-4000
NPI assigned
Dec 18, 2023
Last updated
Jul 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EMORY CLINIC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Authorized official

Name
Adam Tribbett
Title
VP, Chief of Staff
Phone
(404) 778-5294

Specialties & licenses 1

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

Addresses

Primary practice location

4555 N Shallowford Rd
Atlanta, GA 30338-6403

Mailing address

2201 Henderson Mill Rd NE Ste 160
Atlanta, GA 30345-2711
Phone (404) 778-5079

Other names 1

  • EMORY AMBULATORY SURGERY CENTER AT DUNWOODY, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240104004079 GA Part B Supplier - Ambulatory Surgical Center 8820901408 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Emorty Clinic Inc

Practitioners & affiliated clinicians

Practitioners 3

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": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1811765902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HENDERSON MILL RD NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452711",
            "telephone_number": "404-778-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 N SHALLOWFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386403",
            "telephone_number": "404-778-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMORY CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMORY CLINIC INC",
        "enumeration_date": "2023-12-18",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "VP, CHIEF OF STAFF",
        "authorized_official_telephone_number": "404-778-5294"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMORY AMBULATORY SURGERY CENTER AT DUNWOODY, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMORY AMBULATORY SURGERY CENTER AT DUNWOODY, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.