SOUTHEASTERN SURGICAL CENTER – NPI #1144388174
Clinic/Center

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

Health Care Provider Taxonomy Code for Clinic/Center

SOUTHEASTERN SURGICAL CENTER is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1144388174 to SOUTHEASTERN SURGICAL CENTER on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0006X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Fertility Facility

The NPI profile was previously updated about 15 years ago on Aug 03, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN SURGICAL CENTER below.

NPI Profile for
SOUTHEASTERN SURGICAL CENTER

NPI Number
1144388174
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN SURGICAL CENTER
Primary location
1100 JOHNSON FERRY ROAD
SUITE 200
ATLANTA, GA 30342
Phone: (404) 257-1900 Fax: (404) 257-0792
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
H RON DAVIDSON
EXECUTIVE ADMINISTRATOR
Phone: (404) 459-3473
Updated
Identifiers

Identifiers for SOUTHEASTERN SURGICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPERMITGA060079
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0006X
- Clinic/Center / Ambulatory Fertility Facility (Primary)		 GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.