PREMIER SURGICAL PAVILION OF ATLANTA LLC – NPI #1104301274
Clinic/Center

PREMIER SURGICAL PAVILION OF ATLANTA LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1104301274 to PREMIER SURGICAL PAVILION OF ATLANTA LLC on September 25, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

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 PREMIER SURGICAL PAVILION OF ATLANTA LLC below.

NPI Profile for
PREMIER SURGICAL PAVILION OF ATLANTA LLC

NPI Number
1104301274
Enumeration Date

(more than 7 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
PREMIER SURGICAL PAVILION OF ATLANTA LLC
Primary location
1 BALTIMORE PL NW STE 400
ATLANTA, GA 30308-2117
Phone: (212) 223-0716 Fax:
Mailing address
PO BOX 1970
NEW YORK, NY 10156-1970
Phone: (212) 223-0716 Fax:
Organization Subpart
No
Authorized Official
MICHAEL JONES
OWNER
Phone: (212) 223-0716
Updated
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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

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.