SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER – NPI #1427083047
Clinic/Center

SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1427083047 to SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER on July 12, 2006. 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 4 years ago on Jul 21, 2022. 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 PAIN AMBULATORY SURGERY CENTER below.

NPI Profile for
SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER

NPI Number
1427083047
Enumeration Date

(about 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
SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER
Primary location
1140 HAMMOND DRIVE
D 4140
ATLANTA, GA 30328
Phone: (770) 558-8501 Fax: (770) 558-8512
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUTHER ROLLINS
PARTNER
Phone: (770) 558-8501
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)
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.