CENTRESPRING MD NPI 1831553163

NPI Information

NPI: 1831553163
Provider Name: CENTRESPRING MD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2122980

Address:
1401 DRESDEN DR NE
BROOKHAVEN, GA
ZIP 30319
Phone: (404) 814-9808
Get Directions

CENTRESPRING MD is a primary care clinic center in Brookhaven, GA. CENTRESPRING MD NPI is 1831553163. The provider is registered as an organization entity type.

The provider's business location address is:

1401 DRESDEN DR NE
BROOKHAVEN, GA
ZIP 30319-579
Phone: (404) 814-9808
Fax: (404) 814-6086

The provider's authorized official is Tasneem Bhatia .
The authorized official title is Founder and has the following contact phone number (404) 814-9808.

The CLIA number assigned to this NPI record is 11D2122980 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1790199172	MEDICARE NSC	GEORGIA
2	1932535895	MEDICARE NSC	GEORGIA
3	1306238738	MEDICARE NSC	GEORGIA
4	1932213154	MEDICARE NSC	GEORGIA
5	1881790079	MEDICARE NSC	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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