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SOUTHEASTERN SURGICAL CENTER
NPI 1144388174
Clinic/Center - Ambulatory Fertility Facility in Atlanta, GA

Active since December 04, 2006CLIA 11D0928059 · Waiver
1100 JOHNSON FERRY ROAD, SUITE 200, ATLANTA, GA 30342(404) 257-1900(404) 257-0792 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Surgical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN SURGICAL CENTER (NPI 1144388174) is a healthcare organization registered as an ambulatory fertility facility in Atlanta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists H Ron H Davidson, Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1144388174
Entity TypeOrganization
Primary Taxonomy261QA0006X
Legal Business NameSOUTHEASTERN SURGICAL CENTER
Location Address1100 JOHNSON FERRY ROAD, SUITE 200Atlanta, GA 30342
Mailing Address1100 Johnson Ferry Road, Suite 200Atlanta, GA 30342 · (404) 257-1900 · Fax (404) 257-0792
Phone(404) 257-1900
Fax(404) 257-0792
Organization SubpartNo
Authorized OfficialH Ron H DavidsonExecutive Administrator · (404) 459-3473
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 3, 2011
✔ NPI 1144388174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory Fertility FacilityAmbulatory Health Care Facilities
Taxonomy Code261QA0006X
Definition
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
1100 JOHNSON FERRY ROAD, Atlanta, GA 30342
Open in Google Maps ↗

Other Identifiers 1

Other060079GA · Permit

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0928059

Southeastern Surgical Center · Sandy Springs, GA
Active · expires May 6, 2027
CLIA Number11D0928059
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorDr. Andrew Toledo
Laboratory Phone(404) 459-3586
Laboratory LocationSoutheastern Surgical Center1100 Johnson Ferry Road, NE, Suite 200, Sandy Springs, GA 30342
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REPRODUCTIVE BIOLOGY ASSOCIATES
Specialist
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 257-1900
SOUTHEASTERN ENDOCRINE LABORATORY, INC.
Clinical Medical Laboratory
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 257-1900
ROBERT J. STRAUB M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 257-1900
AESTHETIC SURGERY ASSOCIATES
Clinic/Center (Medical Specialty)
1100 JOHNSON FERRY ROAD, SUITE 850
ATLANTA, GA 30342
Fulton County (404) 252-0301
MEGHAN K NICOLINI PHD PC
Psychologist (Clinical Child & Adolescent)
1100 JOHNSON FERRY ROAD, BLDG 2 SUITE 1090
ATLANTA, GA 30342
Fulton County (404) 847-9560
CARLENE W. ELSNER M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 257-1900
ANDREW A TOLEDO M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 257-1900
NORTH PERIMETER ANESTHESIA LLC
Anesthesiology
1100 JOHNSON FERRY ROAD, SUITE 200
ATLANTA, GA 30342
Fulton County (678) 977-1753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Surgical Center's NPI number?

The NPI number for Southeastern Surgical Center is 1144388174. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Southeastern Surgical Center located?

Southeastern Surgical Center is located at 1100 Johnson Ferry Road Suite 200, Atlanta, GA 30342. The listed phone number is (404) 257-1900.

What is Southeastern Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

Does Southeastern Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0928059) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southeastern Surgical Center was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.