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MEDICI SURGICAL CENTER, LLC
NPI 1952814352
Clinic/Center - Ambulatory Surgical in Marietta, GA

Active since November 08, 2017CLIA 11D2141288 · Waiver
792 CHURCH ST NE STE 101, MARIETTA, GA 30060(844) 328-4624 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2018, Nov 8, 2017 (2 updates tracked since 2017).

About Medici Surgical Center, Llc NPPES

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

MEDICI SURGICAL CENTER, LLC (NPI 1952814352) is a healthcare organization registered as an ambulatory surgical in Marietta, Georgia and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through December 11, 2027 and lists Sonny Dosanjh, Cmo, as its authorized official.

NPPES Registry Identity

NPI1952814352
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMEDICI SURGICAL CENTER, LLC
Location Address792 CHURCH ST NE STE 101Marietta, GA 30060-7291
Mailing Address2911 George Busbee Pkwy Nw Ste 50Kennesaw, GA 30144-6910 · (844) 328-4624 · Fax (770) 882-2576
Phone(844) 328-4624
Organization SubpartNo
Authorized OfficialSonny DosanjhCmo · (844) 328-4624
Enumeration DateNovember 8, 2017
Last NPPES UpdateDecember 11, 20182 updates tracked since enumeration
✔ NPI 1952814352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
792 CHURCH ST NE STE 101, Marietta, GA 30060
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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 11D2141288

Medici Surgical Center Cobb, LLC · Marietta, GA
Active · expires Dec 11, 2027
CLIA Number11D2141288
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorSonny S. Dosanjh
Laboratory Phone(404) 217-2100
Laboratory LocationMedici Surgical Center Cobb, LLC792 Church Street, Unit 101, Marietta, GA 30060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
40 services31 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
39 services21 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
32 services18 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 Medici Surgical Center, LLC's NPI number?

The NPI number for Medici Surgical Center, LLC is 1952814352. It was assigned to this organization in the NPPES registry on November 8, 2017.

Where is Medici Surgical Center, LLC located?

Medici Surgical Center, LLC is located at 792 Church St NE Ste 101, Marietta, GA 30060. The listed phone number is (844) 328-4624.

What is Medici Surgical Center, LLC's specialty?

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

Does Medici Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2141288) is associated with this NPI, valid through December 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medici 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 Medici 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 Medici Surgical Center, LLC was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.