ATLANTA PEACHTREE DUNWOODY CENTER – NPI #1245295823
Clinic/Center

ATLANTA PEACHTREE DUNWOODY CENTER is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1245295823 to ATLANTA PEACHTREE DUNWOODY CENTER on April 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ATLANTA PEACHTREE DUNWOODY CENTER” is a dba name, the actual legal business name for this organization is ATLANTA SURGERY CENTER, LTD. 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 14 years ago on May 22, 2012. 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 ATLANTA PEACHTREE DUNWOODY CENTER below.

NPI Profile for
ATLANTA SURGERY CENTER, LTD

NPI Number
1245295823
Enumeration Date

(more than 20 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
ATLANTA SURGERY CENTER, LTD
Doing Business As (dba): ATLANTA PEACHTREE DUNWOODY CENTER
Primary location
5505 PEACHTREE DUNWOODY RD NE
SUITE 150
ATLANTA, GA 30342-1705
Phone: (404) 847-0893 Fax: (404) 843-8664
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DON LIEDTKE
VICE PRESIDENT
Phone: (615) 344-5507
Updated
Identifiers

Identifiers for ATLANTA PEACHTREE DUNWOODY 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
MEDICAIDGA000374162A
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)		 GA 060169

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.