SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC
NPI 1528480076
Clinic/Center - Ambulatory Surgical in Stockbridge, GA

Q: What is South Atlanta Ambulatory Surgical Center, LLC's specialty?

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

Active since January 16, 2014CLIA 11D2073786 · Waiver

830 EAGLES LANDING PKWY STE 101, STOCKBRIDGE, GA 30281(678) 831-4500(678) 289-2550 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About South Atlanta Ambulatory Surgical Center, Llc NPPES

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

SOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC (NPI 1528480076) is a healthcare organization registered as an ambulatory surgical in Stockbridge, Georgia and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Jill Murray, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528480076

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTH ATLANTA AMBULATORY SURGICAL CENTER, LLC

Location Address830 EAGLES LANDING PKWY STE 101Stockbridge, GA 30281-7366

Mailing Address830 Eagles Landing Pkwy Ste 101Stockbridge, GA 30281-7366 · (678) 831-4500 · Fax (678) 289-2550

Phone(678) 831-4500

Fax(678) 289-2550

Organization SubpartNo

Authorized OfficialJill MurrayAdministrator · (678) 831-4500

Enumeration DateJanuary 16, 2014

Last NPPES UpdateJanuary 19, 2026

NPPES CertifiedJanuary 19, 2026

✔ NPI 1528480076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

830 EAGLES LANDING PKWY STE 101, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D2073786

South Atlanta Ambulatory Surgical Center, LLC · Stockbridge, GA

Active · expires Feb 24, 2028

CLIA Number11D2073786

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateFebruary 25, 2026

Certificate Expiration DateFebruary 24, 2028

Laboratory DirectorHoward K. Herman

Laboratory Phone(402) 779-6135

Laboratory LocationSouth Atlanta Ambulatory Surgical Center, LLC830 Eagles Landing Parkway, Suite 101, Stockbridge, GA 30281

CLIA data matches this NPI record on: Address Name

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

Areas of Expertise CMS Part B claims

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.

Reshaping of nasal cartilage 30520

Reshaping of nasal cartilage, also known as rhinoplasty, is a surgical procedure to modify the structure of the nose for aesthetic or functional purposes. It involves adjusting the cartilage and bone in the nose to achieve the desired shape or to improve breathing.

13 services13 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 South Atlanta Ambulatory Surgical Center, LLC's NPI number?

The NPI number for South Atlanta Ambulatory Surgical Center, LLC is 1528480076. It was assigned to this organization in the NPPES registry on January 16, 2014.

Where is South Atlanta Ambulatory Surgical Center, LLC located?

South Atlanta Ambulatory Surgical Center, LLC is located at 830 Eagles Landing Pkwy Ste 101, Stockbridge, GA 30281. The listed phone number is (678) 831-4500.

What is South Atlanta Ambulatory Surgical Center, LLC's specialty?

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

Does South Atlanta Ambulatory Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2073786) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Atlanta Ambulatory Surgical Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Atlanta Ambulatory Surgical Center, 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 South Atlanta Ambulatory Surgical Center, LLC was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.