NPI age
11 years
Enumerated 2014-11-19
● Active Type 2 · Organization
Advanced Ambulatory Surgery Center, Llc
Advanced Ambulatory Surgery Center, Llc 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
Mardy-Davis
Owner
Last NPPES update
2015-07-16
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-11Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
12389 Crabapple Rd
Alpharetta, GA 300046328
Mailing address
4129 Steinhauer Rd Ne
Marietta, GA 300662213
Authorized official
Woodley Bernadette Mardy-Davis, MD
Owner
📞 4702991998
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Ebanga Agbor, NP Nurse Practitioner NPI 1275068173
- Woodley Mardy-Davis, M.D. Pain Medicine NPI 1619188505
- Kenneth Wenslow, PA Physician Assistant NPI 1295805661
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.