NPI age
20 years
Enumerated 2005-08-12
● Active Type 2 · Organization
East West Surgery Center Lp
East West Surgery Center Lp is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lemaistre
Officer / Authorized Official
Last NPPES update
2024-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
2041 Mesa Valley Way, Ste 125
Austell, GA 301066828
Mailing address
2041 Mesa Valley Way, Ste 125
Austell, GA 301066828
Authorized official
Collin Lemaistre
Officer / Authorized Official
📞 2142130732
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Freddy Achecar, M.D. Orthopaedic Surgery NPI 1447245394
- April Amaral, PA-C Physician Assistant NPI 1487011771
- Raj Bhole, M.D. Orthopaedic Surgery NPI 1518952282
- Bonita Brockman, MD Pediatrics NPI 1962443515
- Anthony Carantzas, M.D. Orthopaedic Surgery NPI 1790770477
- Tapan Daftari, M.D. Orthopaedic Surgery NPI 1649267329
- Marly Dows-Martinez, M.D. Physical Medicine & Rehabilitation NPI 1467688085
- Jeffrey Hairston, PA-C Physician Assistant NPI 1063625051
- Kenneth Holbrook, PA Physician Assistant NPI 1194790139
- Stacy Kendrick, PA Physician Assistant NPI 1821064395
- Susan Kirby, NP-C Nurse Practitioner NPI 1154533875
- Scott Kleiman, M.D. Orthopaedic Surgery NPI 1407843824
- Scott Levere, M.D. Orthopaedic Surgery NPI 1912994344
- Gregory March, PT Physical Therapist NPI 1861469405
- Ali Mortazavi, D.O. Orthopaedic Surgery NPI 1609863802
- James Odom, PAC Physician Assistant NPI 1790901957
- Meghan Odom, PT Physical Therapist NPI 1619069218
- Eduardo Olmedo, M.D. Orthopaedic Surgery NPI 1588651632
- Curtis Peoples, PA-C Physician Assistant NPI 1780042333
- Tor Robinson, PA Physician Assistant NPI 1750717310
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 166-510-500 | DEPT OF LABOR |
| 01 (GA) | 490005006 | RR MEDICARE |
| 05 (GA) | 00897047A | |
| 01 (GA) | 51795413002 | BLUE CROSS |
| 01 (GA) | 68-00053 | UNITED HEALTHCARE |
| 01 (GA) | 2377093 | AETNA H/POS |
| 01 (GA) | 327221 | MEDICAID WELLCARE |
| 01 (GA) | 7467086 | AETNA PPO |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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