LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC – NPI #1992496517
Clinic/Center

LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC is an AHC clinic located in RIVERDALE, GA. NPPES has assigned the NPI number 1992496517 to LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC on May 16, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 3 years ago on Dec 04, 2023. 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 LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC below.

NPI Profile for
LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC

NPI Number
1992496517
Enumeration Date

(more than 3 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
LEGACY CENTER FOR SPINAL SURGERY- RIVERDALE LLC
Primary location
528 VALLEY HILL RD SW STE C
RIVERDALE, GA 30274-2441
Phone: (770) 291-8987 Fax:
Mailing address
1900 THE EXCHANGE SE STE 200
ATLANTA, GA 30339-2022
Phone: (770) 291-8987 Fax:
Organization Subpart
No
Authorized Official
SAID ELSHIHABI
OWNER
Phone: (770) 291-8987
Updated
Certification Date
Dec 04, 2023

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)
207T00000X
- Neurological Surgery

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.