SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC
NPI 1528480076
Clinic/Center - Ambulatory Surgical in Stockbridge, GA
NPI Status: Active since January 16, 2014
Contact Information
830 EAGLES LANDING PKWY
STOCKBRIDGE, GA
ZIP 30281
Phone: (402) 779-6135
Fax: (866) 760-3757
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
- CLIA Number: 11D2073786
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 02-24-2026
About SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC
This page provides the complete NPI Profile along with additional information for South Atlanta Ambulatory Surgical Center, Llc, a provider established in Stockbridge, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1528480076 assigned on January 2014. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Sara Bressman (Interim Administrator)
- NPI
- 1528480076
- Provider Name
- SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC
- Entity Type
- Organization
- Location Address
- 830 EAGLES LANDING PKWY STOCKBRIDGE, GA 30281
- Location Phone
- (402) 779-6135
- Location Fax
- (866) 760-3757
- Mailing Address
- 830 EAGLES LANDING PKWY STOCKBRIDGE, GA 30281
- Mailing Phone
- (402) 779-6135
- Mailing Fax
- (866) 760-3757
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-16-2014
- Last Update Date
- 01-16-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Incision of nasal sinus using an endoscope
Removal of nasal air passage under lining tissue
Reshaping of nasal cartilage
This procedure, called endoscopic sinus surgery, involves using a thin, flexible tube with a light and camera on the end, known as an endoscope. It's inserted into the nasal passages to view and remove obstructions in the sinuses, helping to alleviate symptoms.
This service was performed 17 times for 11 patientsThis procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
This service was performed 34 times for 17 patientsReshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.
This service was performed 14 times for 14 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2073786
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- February 25, 2024
- Certificate Expiration Date
- February 24, 2026
- Laboratory Director
- HOWARD K. HERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to South Atlanta Ambulatory Surgical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 4 | 8 | 0 | 0 | 7 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 8 | 8 | 0 | 0 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 8 + 8 + 0 + 0 + 1 + 4 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1528480076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194884247 | TARSEM L. GUPTA, MD, PC Organization | Internal Medicine (Pulmonary Disease) | 830 EAGLES LANDING PKWY SUITE 101 STOCKBRIDGE, GA 30281 (770) 506-7171 |
1831453570 | MRS. SHANNON LYNN PEARCE PHYSICIAN ASSISTANT Individual | Physician Assistant (Medical) | 830 EAGLES LANDING PKWY STOCKBRIDGE, GA 30281 (404) 778-6886 |
1013054568 | JOCELYN HOWARD SYSKO AU.D. Individual | Audiologist | 830 EAGLES LANDING PKWY STE 102 STOCKBRIDGE, GA 30281 (770) 991-2800 |
1164887303 | THE WOMEN'S HEALTH INSTITUTE OF MACON, PC Organization | Obstetrics & Gynecology (Gynecology) | 830 EAGLES LANDING PKWY SUITE 203 STOCKBRIDGE, GA 30281 (678) 759-8647 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528480076, enumerated in the NPI registry as an "organization" on January 16, 2014
The provider is located at 830 Eagles Landing Pkwy Stockbridge, Ga 30281 and the phone number is (402) 779-6135
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Incision of nasal sinus using an endoscope, Removal of nasal air passage under lining tissue and Reshaping of nasal cartilage.
The provider's CLIA number is 11D2073786 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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