NPI age
19 years
Enumerated 2006-08-30
● Active Type 2 · Organization
The Philip Israel Breast Center, P.c.
The Philip Israel Breast Center, P.c. is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Edge
Practice Administrator
Last NPPES update
2016-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
702 Canton Rd Ne
Marietta, GA 300607271
Mailing address
702 Canton Rd Ne
Marietta, GA 300607271
Authorized official
Mitzi Edge
Practice Administrator
📞 7704284486
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Sheryl Cook, NP-C Nurse Practitioner NPI 1316269582
- Natasha Ellis, NP Nurse Practitioner NPI 1083060578
- Mary Goodwin, M.D. Surgery NPI 1083873715
- Angela Robbins, M.D. Specialist NPI 1003883794
- Carla Stephens, FNP-C Nurse Practitioner NPI 1497368583
- Morvarid Tavassoli, MD Surgery NPI 1861996811
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Breast Center, P.C.
Practice context
Multi-provider organization. 6 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.