ATLAS SURGERY CENTER OF BUCKHEAD, INC
NPI 1215069166
Clinic/Center - Ambulatory Surgical in Atlanta, GA

NPI Status: Active since March 09, 2007

Contact Information

2045 PEACHTREE RD NE STE T1
ATLANTA, GA
ZIP 30309
Phone: (786) 701-2225
Fax: (678) 412-1672

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 11D1059248
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 09-25-2026

About ATLAS SURGERY CENTER OF BUCKHEAD, INC

This page provides the complete NPI Profile along with additional information for Atlas Surgery Center Of Buckhead, Inc, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1215069166 assigned on March 2007. The practitioner's primary taxonomy code is 261QA1903X with license number 060-096 (GA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's former legal business name is Roderique Surgi-center, Inc.. The authorized official of this NPI record is Mr. Michael Basille (Owner)

NPI
1215069166
Provider Legal Name
ATLAS SURGERY CENTER OF BUCKHEAD, INC
Other Organization Name
RODERIQUE SURGI-CENTER, INC.
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
2045 PEACHTREE RD NE STE T1 ATLANTA, GA 30309
Location Phone
(786) 701-2225
Location Fax
(678) 412-1672
Mailing Address
PO BOX 673363 MARIETTA, GA 30006
Mailing Phone
(678) 701-2225
Mailing Fax
(678) 412-1672
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2007
Last Update Date
04-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
060-096
License State
GA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL BASILLE

Authorized Official Title
OWNER
Authorized Official Phone
(678) 701-2225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1059248
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
September 26, 2024
Certificate Expiration Date
September 25, 2026
Laboratory Director
FRANCIS K. ACQUAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Atlas Surgery Center Of Buckhead, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215069166, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 0 + 6 + 1 + 8 + 1 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1215069166.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
2045 PEACHTREE RD NE STE T1
ATLANTA, GA 30309
Anesthesiology
2045 PEACHTREE RD NE STE T1
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215069166, enumerated as an "organization" on March 09, 2007.

The provider is located at 2045 PEACHTREE RD NE STE T1 ATLANTA, GA 30309 and the phone number is (786) 701-2225.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.