DECATUR UROLOGY SURGERY CENTER NPI 1194255372

NPI Information

  • NPI: 1194255372
  • Provider Name: DECATUR UROLOGY SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2132549
  • Address: 2711 IRVIN WAY STE 101
    DECATUR, GA
    ZIP 30030
  • Phone: (678) 344-8900

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NPI Details

DECATUR UROLOGY SURGERY CENTER is an ambulatory surgical clinic center in Decatur, GA. DECATUR UROLOGY SURGERY CENTER NPI is 1194255372. The provider is registered as an organization entity type.

The provider's business location address is:

2711 IRVIN WAY STE 101
DECATUR, GA
ZIP 30030
Phone: (678) 344-8900
Fax: (678) 666-5201

The provider's authorized official is Beemal Shah .
The authorized official title is Ceo and has the following contact phone number (706) 951-8657.

The CLIA number assigned to this NPI record is 11D2132549 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Biopsy of prostate gland (HCPCS:55700)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Removal of diseased or injured scrotum (HCPCS:55150)

The enumeration date for this NPI number is 6/19/2017 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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