GEORGIA RETINA SURGERY CENTER, LLC – NPI #1154555472
Clinic/Center

GEORGIA RETINA SURGERY CENTER, LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1154555472 to GEORGIA RETINA SURGERY CENTER, LLC on May 14, 2009. 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

The NPI profile was previously updated about 15 years ago on Apr 22, 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 GEORGIA RETINA SURGERY CENTER, LLC below.

NPI Profile for
GEORGIA RETINA SURGERY CENTER, LLC

NPI Number
1154555472
Enumeration Date

(more than 17 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
GEORGIA RETINA SURGERY CENTER, LLC
Primary location
1100 JOHNSON FERRY RD NE
SUITE 593
ATLANTA, GA 30342-1709
Phone: (404) 255-9096 Fax: (404) 255-9097
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL LUCAS
CFO
Phone: (404) 255-9096
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.