NPI age
19 years
Enumerated 2006-11-20
● Active Type 2 · Organization
Egleston Affiliated Services
Egleston Affiliated Services is 1 of 354 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cody
Manager, Provider Enrollment
Last NPPES update
2023-04-03
Source: monthly bulk 2026-05
How this organization compares
Across 354 active clinic/center providers in Georgia.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2041 Mesa Valley Way, Suite 185
Austell, GA 30106
Mailing address
1584 Tullie Cir Ne
Atlanta, GA 303292311
Authorized official
Louetta Cody
Manager, Provider Enrollment
📞 4047857876
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Children's Healthcare of Atlanta at West Cobb
-
Children's Healthcare of Atlanta at West Cobb
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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.