ISPM ASC AT COVINGTON, LLC – NPI #1558605204
Clinic/Center

ISPM ASC AT COVINGTON, LLC is an AHC clinic located in COVINGTON, GA. NPPES has assigned the NPI number 1558605204 to ISPM ASC AT COVINGTON, LLC on November 19, 2012. 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 14 years ago on Nov 21, 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 ISPM ASC AT COVINGTON, LLC below.

NPI Profile for
ISPM ASC AT COVINGTON, LLC

NPI Number
1558605204
Enumeration Date

(more than 13 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
ISPM ASC AT COVINGTON, LLC
Primary location
5303 ADAMS ST NE STE C
COVINGTON, GA 30014-6209
Phone: (678) 729-8590 Fax: (678) 729-8595
Mailing address
PO BOX 935100
ATLANTA, GA 31193-5100
Phone: (678) 729-8590 Fax: (678) 729-8595
Organization Subpart
No
Authorized Official
ROBIN FOWLER
OWNER
Phone: (770) 929-9033
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.