THE BREAST HEALTH CLINIC, PC. – NPI #1417079682
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

THE BREAST HEALTH CLINIC, PC. is a surgeon located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1417079682 to THE BREAST HEALTH CLINIC, PC. on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is FKA STEPHEN P. AUDA, M.D., P.C.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 15 years ago on Oct 25, 2011. 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 THE BREAST HEALTH CLINIC, PC. below.

NPI Profile for
THE BREAST HEALTH CLINIC, PC.

NPI Number
1417079682
Enumeration Date

(more than 19 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
THE BREAST HEALTH CLINIC, PC.
Former Legal Business Name: FKA STEPHEN P. AUDA, M.D., P.C.
Primary location
325 NORTH JEFF DAVIS DRIVE
FAYETTEVILLE, GA 30214
Phone: (770) 461-1337 Fax: (770) 461-0922
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN AUDA
PRESIDENT
Phone: (770) 461-1337
Updated
Identifiers

Identifiers for THE BREAST HEALTH CLINIC, PC.

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
MEDICAIDGA00186392A
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
208600000X
- Surgery (Primary)		 GA 020653
174400000X
- Specialist

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.