Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Surgical Pavilion of Atlanta LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1104301274

Premier Surgical Pavilion of Atlanta LLC is an Ambulatory Surgical Clinic/Center in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Baltimore Pl NW Ste 400
Atlanta, GA 30308-2117
Phone: (212) 223-0716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1104301274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Jones — Owner · (212) 223-0716
NPI enumeratedSeptember 25, 2018
Last updated in NPPESSeptember 25, 2018
Mailing addressPo Box 1970, New York, NY 10156-1970

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