MARIETTA ADVANCED SURGERY CENTER
NPI 1285108845
Clinic/Center - Ambulatory Surgical in Marietta, GA

Active since January 17, 2019CLIA 11D2171126 · Waiver
1371 CHURCH STREET EXT NE STE 100, MARIETTA, GA 30060(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, May 24, 2023, Sep 12, 2022 and 1 more (4 updates tracked since 2019).

About Marietta Advanced Surgery Center NPPES

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

MARIETTA ADVANCED SURGERY CENTER (NPI 1285108845) is a healthcare organization registered as an ambulatory surgical in Marietta, Georgia and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285108845
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMARIETTA ADVANCED SURGERY CENTER
Location Address1371 CHURCH STREET EXT NE STE 100Marietta, GA 30060-7913
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 691-0506
Fax(678) 666-5201
Organization SubpartNo
Authorized OfficialBeemal ShahCeo · (706) 951-8657
Enumeration DateJanuary 17, 2019
Last NPPES UpdateJanuary 7, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
NPI 1285108845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1371 CHURCH STREET EXT NE STE 100, Marietta, GA 30060

Accepted Insurance

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 11D2171126

Marietta Advanced Surgery Center · Marietta, GA
Active · expires Aug 26, 2027
CLIA Number11D2171126
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorJitesh V. Patel
Laboratory Phone(678) 344-8900
Laboratory LocationMarietta Advanced Surgery Center1371 Church Street Ext, NE, Suite 100, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,000 services13 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
166 services142 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
132 services57 patients
Insertion of tube into ureter using an endoscope through bladder area 52005
This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.
91 services83 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
71 services69 patients
Dilation of bladder using an endoscope under general or spinal anesthesia 52260
This is a procedure where a special instrument called an endoscope is used to widen your bladder. It's done under anesthesia, so you won't feel anything. It helps with various bladder conditions by improving flow and reducing discomfort.
55 services37 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 Marietta Advanced Surgery Center's NPI number?

The NPI number for Marietta Advanced Surgery Center is 1285108845. It was assigned to this organization in the NPPES registry on January 17, 2019.

Where is Marietta Advanced Surgery Center located?

Marietta Advanced Surgery Center is located at 1371 Church Street Ext NE Ste 100, Marietta, GA 30060. The listed phone number is (678) 344-8900.

What is Marietta Advanced Surgery Center's specialty?

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

Does Marietta Advanced Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2171126) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marietta Advanced Surgery Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Marietta Advanced Surgery Center 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 Marietta Advanced Surgery Center was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.