ALLIANCE SURGERY CENTER AT CAMP CREEK – NPI #1942548870
Clinic/Center

ALLIANCE SURGERY CENTER AT CAMP CREEK is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1942548870 to ALLIANCE SURGERY CENTER AT CAMP CREEK on January 28, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLIANCE SURGERY CENTER AT CAMP CREEK” is a dba name, the actual legal business name for this organization is ISPM ASC AT CAMP CREEK LLC. 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 6 years ago on Feb 29, 2020. 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 ALLIANCE SURGERY CENTER AT CAMP CREEK below.

NPI Profile for
ISPM ASC AT CAMP CREEK LLC

NPI Number
1942548870
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 CAMP CREEK LLC
Doing Business As (dba): ALLIANCE SURGERY CENTER AT CAMP CREEK
Primary location
3885 PRINCETON LAKES WAY SW
STE 400
ATLANTA, GA 30331-5589
Phone: (404) 920-4950 Fax: (404) 920-4959
Mailing address
PO BOX 11407 DEPT 2330
BIRMINGHAM, AL 35246-0001
Phone: (404) 920-4950 Fax: (404) 920-4959
Organization Subpart
No
Authorized Official
ROBIN FOWLER
OWNER/MEDICAL DIRECTOR
Phone: (404) 920-4950
Updated
Certification Date
Feb 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.