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

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  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARA BRESSMAN

Authorized Official Title
INTERIM ADMINISTRATOR
Authorized Official Phone
(402) 779-6135

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

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 patients

Removal of nasal air passage under lining tissue

This 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 patients

Reshaping of nasal cartilage

Reshaping 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 patients

CLIA 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.
1528480076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548880014
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 = 66

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
1194884247TARSEM L. GUPTA, MD, PC
Organization
Internal Medicine (Pulmonary Disease)830 EAGLES LANDING PKWY SUITE 101
STOCKBRIDGE, GA 30281
(770) 506-7171
1831453570MRS. 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
Audiologist830 EAGLES LANDING PKWY STE 102
STOCKBRIDGE, GA 30281
(770) 991-2800
1164887303THE 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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