NPIMap

Organization Active NPI

Lunate Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1932709490
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LUNATE SURGERY CENTER
Practice address
6115 Peachtree Dunwoody Rd Ste 230
Sandy Springs, GA 30328-5546
Phone
(770) 333-7888
Fax
(770) 333-7889
NPI assigned
Oct 26, 2020
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Viralkumar Patel, MDNPI 1083812523
Title
Ceo
Phone
(770) 333-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6115 Peachtree Dunwoody Rd Ste 230
Sandy Springs, GA 30328-5546

Mailing address

3968 Felton Hill Rd SW Ste 100
Smyrna, GA 30082-3522
Phone (770) 333-7888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511002620 GA Part B Supplier - Ambulatory Surgical Center 8022427681 Receives reassigned benefits from 15 practitioners
Practice locations: Sandy Spring, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lunate Surgery Center LLCCCN 11C0001541

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
11D2213107Lunate Surgery Center, LLC6115 Peachtree Dunwoody Road Suite 230, Sandy Springs, GA 30328Certificate of waiverFeb 9, 2027

National Provider Directory

National Provider Directory

Locations

6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1932709490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 FELTON HILL RD SW STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823522",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 230",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285546",
            "telephone_number": "770-333-7888",
            "fax_number": "770-333-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNATE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRALKUMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-333-7888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.