West Paces Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WEST PACES SURGERY CENTER LLC

Practice address

3200 Downwood Cir NW
Suite 400
Atlanta, GA 30327-1610

Phone

(404) 969-7614

NPI assigned

Apr 22, 2015

Last updated

Aug 17, 2017By 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

Ms. Lee Anne Blackwell, VP CLINICAL SERVICES

Title

Management

Phone

(205) 602-6488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

West Paces Surgery Center Dba Aoi Surgery CenterCCN 11C0001464

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• West Paces Anesthesia Services, LLC

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1467296871
  NPPES parent name

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.

• Rajiv D Pandya, MD

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
  • NPI 1255441747
  NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1992192488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-969-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PACES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "205-602-6488",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "VP CLINICAL SERVICES"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West End Medical Centers, the Family Health Center @ Bolton Village
• West End Well Werks LLC
• West Family Chiropractic
• West Paces Ambulatory Surgical Center, LLC
• West Paces Anesthesia Services, LLC
• West Side Medical and Physical Therapy
• West Side Plastic Surgery, Inc
• Caitlin Lee West, PT, DPT
• Carolyn G West, CRNP
• Christine West

• 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 Aug 17, 2017; 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.