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ALLIANCE SURGERY CENTER AT WOODSTOCK, LLC
NPI 1215410592
Clinic/Center - Ambulatory Surgical in Woodstock, GA

Active since September 12, 2018CLIA Certified · 3 labs
300 PARKBROOKE PL STE 390, WOODSTOCK, GA 30189(770) 929-9033(770) 929-9092 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 29, 2020, Sep 12, 2018 (2 updates tracked since 2018).

About Alliance Surgery Center At Woodstock, Llc NPPES

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

ALLIANCE SURGERY CENTER AT WOODSTOCK, LLC (NPI 1215410592) is a healthcare organization registered as an ambulatory surgical in Woodstock, Georgia and active in the NPI registry since September 2018. The organization holds 3 active CLIA laboratory certificates and lists Victoria Beck, Cfo, as its authorized official.

NPPES Registry Identity

NPI1215410592
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALLIANCE SURGERY CENTER AT WOODSTOCK, LLC
Location Address300 PARKBROOKE PL STE 390Woodstock, GA 30189-7209
Mailing AddressPo Box 11407 Dept 8082Birmingham, AL 35246-0001 · (404) 920-4950 · Fax (404) 920-4959
Phone(770) 929-9033
Fax(770) 929-9092
Organization SubpartNo
Authorized OfficialVictoria BeckCfo · (404) 403-8310
Enumeration DateSeptember 12, 2018
Last NPPES UpdateFebruary 29, 20202 updates tracked since enumeration
✔ NPI 1215410592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
300 PARKBROOKE PL STE 390, Woodstock, GA 30189
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alliance Surgery Center At Woodstock, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alliance Surgery Center At Woodstock, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Shawn Cable, M.D.
Interventional Pain Management
NPI 1558310151
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(770) 929-9033
✔ PECOS✔ Accepts Medicare23 mi
Jordan Tate, M.D., MPH
Physical Medicine and Rehabilitation
NPI 1508008079
1101 OLD PHILADELPHIA RD STE G
Jasper, GA 30143
(678) 971-4167
✔ PECOS✔ Accepts Medicare26 mi
Robin Fowler, MD
Interventional Pain Management
NPI 1235185141
1388 WELLBROOK CIR NE SUITE A
Conyers, GA 30012
(770) 929-9033
✔ PECOS✔ Accepts Medicare44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 11D2160013

Alliance Surgery Center At Woodstock, LLC · Woodstock, GA
Active · expires Jan 2, 2027
CLIA Number11D2160013
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorShawn Christopher Cable
Laboratory Phone(770) 929-9033
Laboratory LocationAlliance Surgery Center At Woodstock, LLC300 Parkbrooke Place, Suite 300, Woodstock, GA 30189
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2103321

Alliance Surgery Center Of Augusta, LLC · Augusta, GA
Active · expires Oct 8, 2027
CLIA Number11D2103321
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorJorge Alvear
Laboratory Phone(404) 920-4950
Laboratory LocationAlliance Surgery Center Of Augusta, LLC1367 Interstate Pkwy, Augusta, GA 30909
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2276513

Alliance Surgery Center At Cumming, LLC · Cumming, GA
Active · expires Feb 8, 2027
CLIA Number11D2276513
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorMasson Scott
Laboratory Phone(404) 920-4950
Laboratory LocationAlliance Surgery Center At Cumming, LLC970 Sanders Road, Suite 200, Cumming, GA 30041
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
198 services95 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
189 services95 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
184 services56 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
119 services55 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
71 services24 patients
Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633
This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.
38 services23 patients

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 Alliance Surgery Center At Woodstock, LLC's NPI number?

The NPI number for Alliance Surgery Center At Woodstock, LLC is 1215410592. It was assigned to this organization in the NPPES registry on September 12, 2018.

Where is Alliance Surgery Center At Woodstock, LLC located?

Alliance Surgery Center At Woodstock, LLC is located at 300 Parkbrooke Pl Ste 390, Woodstock, GA 30189. The listed phone number is (770) 929-9033.

What is Alliance Surgery Center At Woodstock, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Alliance Surgery Center At Woodstock, LLC enrolled in Medicare?

Yes. Alliance Surgery Center At Woodstock, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alliance Surgery Center At Woodstock, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Alliance Surgery Center At Woodstock, LLC, in Interventional Pain Management and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alliance Surgery Center At Woodstock, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Alliance Surgery Center At Woodstock, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Alliance Surgery Center At Woodstock, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alliance Surgery Center At Woodstock, LLC was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.