ISPM ASC AT COVINGTON LLC NPI 1528297140

NPI Information

  • NPI: 1528297140
  • Provider Name: ISPM ASC AT COVINGTON, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 5303 ADAMS STREET
    SUITE C
    COVINGTON, GA
    ZIP 30014
  • Phone: (770) 929-9033

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NPI Details

ISPM ASC AT COVINGTON, LLC is an ambulatory surgical clinic center in Covington, GA. ISPM ASC AT COVINGTON, LLC NPI is 1528297140. The provider is registered as an organization entity type.

The provider's business location address is:

5303 ADAMS STREET
SUITE C
COVINGTON, GA
ZIP 30014
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 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 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 peripheral nerve or branch (HCPCS:64640)
  • 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)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)

The enumeration date for this NPI number is 7/2/2009 and was last updated on 11/10/2022.

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
1003127119AMEDICAIDGEORGIA

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: 11/21/2025

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