CPMSC CARROLLTON NPI 1316233612

NPI Information

  • NPI: 1316233612
  • Provider Name: CPMSC CARROLLTON
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D2022796
  • Address: 812 SOUTH PARK STREET
    SUITE 5-B
    CARROLLTON, GA
    ZIP 30117
  • Phone: (770) 929-9033

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NPI Details

CPMSC CARROLLTON is an ambulatory surgical clinic center in Carrollton, GA. CPMSC CARROLLTON NPI is 1316233612. The provider is registered as an organization entity type.

The provider's business location address is:

812 SOUTH PARK STREET
SUITE 5-B
CARROLLTON, GA
ZIP 30117
Phone: (770) 929-9033
Fax: (770) 929-9092

The provider's authorized official is Victoria Beck .
The authorized official title is Cfo and has the following contact phone number (404) 920-4950.

The CLIA number assigned to this NPI record is 11D2022796 - 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.

  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)

The enumeration date for this NPI number is 6/24/2011 and was last updated on 10/20/2015.

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 SurgicalNo
2261QA1903XClinic/CenterAmbulatory SurgicalGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202G491952MEDICARE PINGEORGIA
2003126952AMEDICAIDGEORGIA

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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