Sandy Springs Center for Urologic Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SANDY SPRINGS CENTER FOR UROLOGIC SURGERY LLC

Practice address

1450 S Johnson Ferry Rd Ste 100
Atlanta, GA 30319

Phone

(678) 344-8900

NPI assigned

May 24, 2018

Last updated

Jan 7, 2025By 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

Beemal Shah

Title

Ceo

Phone

(706) 951-8657

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Sandy Springs Center for Urologic SurgeryCCN 11C0001503

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Urology Institute of Georgia, LLC

  • Urology Physician
  • Marietta, GA
  • NPI 1295382778

  Member Of

  NPD member

Practitioners 8

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.

• Herman Singh Bagga, MD

  • Urology Physician
  • Roswell, GA
  • NPI 1427384841
  NPD (past)
• Chirag Niranjan Dave, M.D.

  • Urology Physician
  • Marietta, GA
  • NPI 1205273091
  NPD (past)
• Nicholas Farber, MD

  • Urology Physician
  • Johns Creek, GA
  • NPI 1952716730
  NPD (past)
• Vahan S Kassabian, M.D.

  • Urology Physician
  • Roswell, GA
  • NPI 1730283284
  NPD (past)
• Robert Scott King, D.O.

  • Urology Physician
  • Marietta, GA
  • NPI 1982091237
  NPD (past)
• Rutveej Patel, M.D.

  • Urology Physician
  • Roswell, GA
  • NPI 1407288012
  NPD (past)
• Kushan Radadia, MD

  • Urology Physician
  • Roswell, GA
  • NPI 1275949992
  NPD (past)
• Bhavik Shah, M.D.

  • Urology Physician
  • Stockbridge, GA
  • NPI 1265774863
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1891286860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S JOHNSON FERRY RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "678-344-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS CENTER FOR UROLOGIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BEEMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-951-8657"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sands
• Taylor Sands
• Kymiko Sandusky-Norman
• Sandy Springs Anesthesia Group LLC
• Sandy Springs Center for Nursing and Healing LLC
• Sandy Springs Dental 2 LLC (Sandy Springs Dental)
• Sandy Springs Health Center
• Sandy Springs Internal Medicine, P.C.
• Sandy Springs Oral Surgery, LLC
• Sandy Springs Pediatrics and Adolescent Medicine

• 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 Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.