Organization Active NPI

Eps Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Decatur, GA
National Provider Identifier
1922262278
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EPS SURGICAL CENTER, LLC
Practice address
1457 Scott Blvd
Decatur, GA 30030-1425
Phone
(404) 292-2500
Fax
(404) 294-9361
NPI assigned
Jul 16, 2008
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
David Tanner
Title
Administrator
Phone
(404) 292-2500

Specialties & licenses 1

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

Addresses

Primary practice location

1457 Scott Blvd
Decatur, GA 30030-1425

Mailing address

1457 Scott Blvd
Decatur, GA 30030-1425
Phone (404) 292-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000334 GA Part B Supplier - Ambulatory Surgical Center 0547321275 Practice locations: Decatur, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eps Surgical Center LLCCCN 11C0001322
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1089302Eps Surgical Center LLC1457 Scott Boulevard, Decatur, GA 30030Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

Practitioners & affiliated clinicians

Practitioners 9

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1922262278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301425",
            "telephone_number": "404-292-2500",
            "fax_number": "404-294-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301425",
            "telephone_number": "404-292-2500",
            "fax_number": "404-294-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-292-2500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.