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COOSA PROCEDURE CENTER LLC
NPI 1821183237
Clinic/Center - Ambulatory Surgical in Rome, GA

Active since October 03, 2006
18 RIVERBEND PKWY, SUITE 120, ROME, GA 30161(706) 549-8114(706) 549-0151 Get Directions Write a Review

NPPES record last updated: January 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coosa Procedure Center Llc NPPES

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

COOSA PROCEDURE CENTER LLC (NPI 1821183237) is a healthcare organization registered as an ambulatory surgical in Rome, Georgia and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Rome and lists Dawnetta Janene Holladay, Ceo, as its authorized official.

NPPES Registry Identity

NPI1821183237
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOOSA PROCEDURE CENTER LLC
Location Address18 RIVERBEND PKWY, SUITE 120Rome, GA 30161
Mailing AddressPo Box 80883Athens, GA 30608-0883 · (706) 549-8114 · Fax (706) 549-7558
Phone(706) 549-8114
Fax(706) 549-0151
Organization SubpartNo
Authorized OfficialDawnetta Janene HolladayCeo · (706) 549-8114
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 8, 2018
✔ NPI 1821183237 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 · 057288
18 RIVERBEND PKWY, Rome, GA 30161
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Secondary Practice Location 1

Location 118 Riverbend Pkwy, Suite 120Rome, GA 30161 · Phone (706) 549-8114 · Fax (706) 549-0151

Other Identifiers 1

Medicaid196957398AGA

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 Coosa Procedure Center LLC's NPI number?

The NPI number for Coosa Procedure Center LLC is 1821183237. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Coosa Procedure Center LLC located?

Coosa Procedure Center LLC is located at 18 Riverbend Pkwy Suite 120, Rome, GA 30161. The listed phone number is (706) 549-8114.

What is Coosa Procedure Center 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 Coosa Procedure Center LLC was last updated on January 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.