Buckhead Surgical Associates LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41097 Issued in GA

Legal business name

BUCKHEAD SURGICAL ASSOCIATES LLC

Practice address

2061 Peachtree Rd NE
Suite 300
Atlanta, GA 30309-1427

Phone

(404) 350-7955

Fax

(404) 350-9115

NPI assigned

Feb 26, 2013

Last updated

Jan 14, 2014By 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

Dr. J. Dewayne Colquitt, M.D.

Title

Owner/M.D.

Phone

(404) 350-7955

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kevin Michael McGill, M.D.

  • Surgery Physician
  • Atlanta, GA
  • NPI 1144454497
  NPD

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1972843084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091427",
            "telephone_number": "404-350-7955",
            "fax_number": "404-350-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091427",
            "telephone_number": "404-350-7955",
            "fax_number": "404-350-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "COLQUITT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "404-350-7955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "41097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Smiles Cosmetic and Family Dentistry LLC
• Buckhead Speech Specialists, Inc.
• Buckhead Spine Clinic LTD. Co.
• Buckhead Spine Specialist LLC
• Buckhead Sports Medicine and Spine Center (Midtown Sports Medicine)
• Buckhead Surgical Services, L.P. (Buckhead Ambulatory Surgery Center)
• Buckhead Urogynecology
• Buckhead Vision Inc
• Thomas H Buckingham
• Kevin Eugene Buckins, LPC

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.