NPI age
19 years
Enumerated 2006-10-03
● Active Type 2 · Organization
Coosa Procedure Center Llc
Coosa Procedure Center Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Holladay
Ceo
Last NPPES update
2018-01-08
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
18 Riverbend Dr Sw Ste 120
Rome, GA 301616019
Mailing address
Po Box 80883
Athens, GA 306080883
Additional practice locations
1 secondary location on file with NPPES.
Location 2
18 Riverbend Pkwy, Suite 120
Rome, GA 30161
Authorized official
Dawnetta Janene Holladay, M.D.
Ceo
📞 7065498114
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Rhonda Puckett Nurse Practitioner NPI 1205371325
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 196957398A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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