MARIETTA OUTPATIENT SURGERY LTD NPI 1669437109

NPI Information

  • NPI: 1669437109
  • Provider Name: MARIETTA OUTPATIENT SURGERY, LTD
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D0254935
  • Address: 780 CANTON RD NE
    SUITE 100
    MARIETTA, GA
    ZIP 30060
  • Phone: (770) 422-1579

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NPI Details

MARIETTA OUTPATIENT SURGERY, LTD is an ambulatory surgical clinic center in Marietta, GA. MARIETTA OUTPATIENT SURGERY, LTD NPI is 1669437109. The provider is registered as an organization entity type.

The provider's business location address is:

780 CANTON RD NE
SUITE 100
MARIETTA, GA
ZIP 30060-241
Phone: (770) 422-1579
Fax: (770) 422-1057

The provider's authorized official is William Gregory Swinney .
The authorized official title is Vp and has the following contact phone number (972) 789-2877.

The CLIA number assigned to this NPI record is 11D0254935 - 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.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Dilation to improve eye fluid flow (HCPCS:66174)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Removal of excessive skin of lower eyelid and fat around eye (HCPCS:15821)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Removal of tissue, muscle, and membrane to correct eyelid drooping or paralysis (HCPCS:67908)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)

The enumeration date for this NPI number is 4/18/2006 and was last updated on 2/15/2018.

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 Surgical033163GEORGIAYes

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
100354593AMEDICAIDGEORGIA

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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