Active NPI
Childrens Healthcare of Atlanta Surgery Center at Meridian Mark Plaza
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
National Provider Identifier
1881764553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 060-256
- Legal business name
- CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA
- Practice address
- 5445 Meridian Marks Rd NE
Suite 340
Atlanta, GA 30342-4763 - Phone
- (404) 785-5650
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Managed Care
- Title
- MGR, Provider Enrollment
- Phone
- (404) 785-5437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 060-256 | GA | Primary |
Addresses
Primary practice location
5445 Meridian Marks Rd NE
Suite 340
Atlanta, GA 30342-4763
Mailing address
1575 NE Expressway
Atlanta, GA 30329-2317
Phone (404) 785-7876
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1007511 | Childrens Surgery Ctr at Meridian Mark Plaza LLC | Certificate of waiver | Dec 18, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1881764553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 NE EXPRESSWAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292317",
"telephone_number": "404-785-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 MERIDIAN MARKS RD NE",
"address_2": "SUITE 340",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303424763",
"telephone_number": "404-785-5650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "CARE",
"authorized_official_first_name": "MANAGED",
"authorized_official_title_or_position": "MGR, PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "404-785-5437"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "060-256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.