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LAGNIAPPE LLC
NPI 1396188967
Clinic/Center - Ambulatory Surgical in Fayetteville, GA

Active since April 12, 2013
1975 HIGHWAY 54 W, SUITE 100, FAYETTEVILLE, GA 30214(770) 632-3730(770) 632-3731 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lagniappe Llc NPPES

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

LAGNIAPPE LLC (NPI 1396188967) is a healthcare organization registered as an ambulatory surgical in Fayetteville, Georgia and active in the NPI registry since April 2013. The organization lists Anthony T Clavo, President, as its authorized official.

NPPES Registry Identity

NPI1396188967
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAGNIAPPE LLC
Location Address1975 HIGHWAY 54 W, SUITE 100Fayetteville, GA 30214-4794
Mailing Address1975 Highway 54 W, Suite 100Fayetteville, GA 30214-4794 · (770) 632-3730 · Fax (770) 632-3731
Phone(770) 632-3730
Fax(770) 632-3731
Organization SubpartNo
Authorized OfficialAnthony T ClavoPresident · (770) 632-3730
Enumeration DateApril 12, 2013
✔ NPI 1396188967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in GA · 0666736
1975 HIGHWAY 54 W, Fayetteville, GA 30214
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Other Providers at the Same Location NPPES 4

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

LATASHA NICOLE TEMPLE ATC
Specialist/Technologist (Athletic Trainer)
1975 HIGHWAY 54 W, SUITE 210
FAYETTEVILLE, GA 30214
Fayette County (770) 632-2060
DR. NICK M GABBAY DPM
Podiatrist (Foot & Ankle Surgery)
1975 HIGHWAY 54 W, SUITE 205
FAYETTEVILLE, GA 30214
Fayette County (678) 561-9000
KYLE HARRIS
Nurse Practitioner (Family)
1975 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 632-3730
G CLAY TAYLOR
Durable Medical Equipment & Medical Supplies
1975 HIGHWAY 54 W, STE 205
FAYETTEVILLE, GA 30214
Fayette County (678) 561-9000

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 Lagniappe LLC's NPI number?

The NPI number for Lagniappe LLC is 1396188967. It was assigned to this organization in the NPPES registry on April 12, 2013.

Where is Lagniappe LLC located?

Lagniappe LLC is located at 1975 Highway 54 W Suite 100, Fayetteville, GA 30214. The listed phone number is (770) 632-3730.

What is Lagniappe LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lagniappe LLC was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.