ISPM ASC AT CAMP CREEK LLC
NPI 1447594106
Clinic/Center - Ambulatory Surgical in Atlanta, GA

Q: What is Ispm ASC At Camp Creek LLC's NPI number?

The NPI number for Ispm ASC At Camp Creek LLC is 1447594106. It was assigned to this organization in the NPPES registry on November 19, 2012.

Q: What is Ispm ASC At Camp Creek LLC's specialty?

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

Active since November 19, 2012CLIA 11D2050094 · Waiver

3885 PRINCETON LAKES WAY SW, SUITE 400, ATLANTA, GA 30331(770) 929-9033(770) 929-9092 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ispm Asc At Camp Creek Llc NPPES

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

ISPM ASC AT CAMP CREEK LLC (NPI 1447594106) is a healthcare organization registered as an ambulatory surgical in Atlanta, Georgia and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Robin J Folwer, Owner, as its authorized official.

NPPES Registry Identity

NPI1447594106

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameISPM ASC AT CAMP CREEK LLC

Location Address3885 PRINCETON LAKES WAY SW, SUITE 400Atlanta, GA 30331-5589

Mailing AddressPo Box 11407 Dept 2330Birmingham, AL 35246-2330 · (770) 929-9033 · Fax (770) 929-9092

Phone(770) 929-9033

Fax(770) 929-9092

Organization SubpartNo

Authorized OfficialRobin J FolwerOwner · (770) 929-9033

Enumeration DateNovember 19, 2012

Last NPPES UpdateFebruary 20, 2020

✔ NPI 1447594106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331

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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 11D2050094

Ispm ASC At Camp Creek · Atlanta, GA

Active · expires Nov 19, 2026

CLIA Number11D2050094

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 20, 2024

Certificate Expiration DateNovember 19, 2026

Laboratory DirectorAli Kassamali

Laboratory Phone(770) 929-9033

Laboratory LocationIspm ASC At Camp Creek3885 Princeton Lakes Way Suite 400, Atlanta, GA 30331

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

SOUTHWEST MAXILLOFACIAL SURGERY & IMPLANT CENTER

Dentist (Oral and Maxillofacial Surgery)

3885 PRINCETON LAKES WAY SW, 406
ATLANTA, GA 30331

Fulton County (404) 629-6610

SOUTHCARE PHYSICIANS GROUP OBSTETRICS & GYNECOLOGY

Obstetrics & Gynecology

3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331

Fulton County (404) 466-1006

WELLSTAR MEDICAL GROUP, LLC

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
ATLANTA, GA 30331

Fulton County (404) 344-0059

DR. CHARIS JEWELLE TRENCH-SIMMONS M.D.

Obstetrics & Gynecology

3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331

Fulton County (678) 365-2322

PICKENS ANDREW PATTERSON III MD

Pain Medicine (Interventional Pain Medicine)

3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331

Fulton County (678) 733-9666

THE INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC

Pain Medicine (Interventional Pain Medicine)

3885 PRINCETON LAKES WAY SW, SUITE 225
ATLANTA, GA 30331

Fulton County (770) 929-9033

CAMP CREEK LLC

Specialist

3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331

Fulton County (404) 344-6575

SOUTHERN CRESCENT PHYSICIANS GROUP, INC

Psychiatry & Neurology (Neurology)

3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331

Fulton County (770) 996-3190

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 Ispm ASC At Camp Creek LLC's NPI number?

The NPI number for Ispm ASC At Camp Creek LLC is 1447594106. It was assigned to this organization in the NPPES registry on November 19, 2012.

Where is Ispm ASC At Camp Creek LLC located?

Ispm ASC At Camp Creek LLC is located at 3885 Princeton Lakes Way SW Suite 400, Atlanta, GA 30331. The listed phone number is (770) 929-9033.

What is Ispm ASC At Camp Creek LLC's specialty?

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

Does Ispm ASC At Camp Creek LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2050094) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ispm ASC At Camp Creek LLC was last updated on February 20, 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.