SOUTH ATLANTA MUA CENTER, LLC
NPI 1639571532
Clinic/Center - Ambulatory Surgical in Forest Park, GA

Active since September 23, 2014CLIA 11D2163345 · Waiver
541 FOREST PKWY, STE 14, FOREST PARK, GA 30297(855) 880-7568(866) 837-9033 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Atlanta Mua Center, Llc NPPES

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

SOUTH ATLANTA MUA CENTER, LLC (NPI 1639571532) is a healthcare organization registered as an ambulatory surgical in Forest Park, Georgia and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Stephen B Cooper, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1639571532
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTH ATLANTA MUA CENTER, LLC
Location Address541 FOREST PKWY, STE 14Forest Park, GA 30297-6144
Mailing AddressP.o. Box 1601Phenix City, AL 36867 · (855) 880-7568 · Fax (866) 837-9033
Fax(866) 837-9033
Organization SubpartNo
Authorized OfficialStephen B CooperSole Member · (855) 880-7568
Enumeration DateSeptember 23, 2014
Last NPPES UpdateMay 7, 2015
NPI 1639571532 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 · 031143
541 FOREST PKWY, Forest Park, GA 30297

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 11D2163345

South Atlanta Mua Center · Forest Park, GA
Active · expires Mar 12, 2027
CLIA Number11D2163345
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorStephen B. Cooper
Laboratory Phone(877) 495-7773
Laboratory LocationSouth Atlanta Mua Center541 Forest Parkway, Forest Park, GA 30297
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Specialist
541 FOREST PKWY
FOREST PARK, GA 30297
Surgery
541 FOREST PKWY, SUITE 14
FOREST PARK, GA 30297
Anesthesiology
541 FOREST PKWY, SUITE 14
FOREST PARK, GA 30297
Pharmacist
541 FOREST PKWY, SUITE 14
FOREST PARK, GA 30297
Clinic/Center (Ambulatory Surgical)
541 FOREST PKWY, SUITE 14
FOREST PARK, GA 30297
Specialist
541 FOREST PKWY
FOREST PARK, GA 30297
Pharmacy (Community/Retail Pharmacy)
541 FOREST PKWY, SUITE 4
FOREST PARK, GA 30297
Specialist
541 FOREST PKWY
FOREST PARK, GA 30297

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 Mua Center, LLC's NPI number?

The NPI number for South Atlanta Mua Center, LLC is 1639571532. It was assigned to this organization in the NPPES registry on September 23, 2014.

Where is South Atlanta Mua Center, LLC located?

South Atlanta Mua Center, LLC is located at 541 Forest Pkwy Ste 14, Forest Park, GA 30297. The listed phone number is (855) 880-7568.

What is South Atlanta Mua 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 Mua Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2163345) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Atlanta Mua Center, LLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.