Egleston Affiliated Services
Egleston Affiliated Services is a healthcare organization registered as Urgent Care Clinic/Center in Austell, GA, holding Type 2 (organization) NPI 1750455952 since 2006. The authorized official on file is Louetta Cody, Manager, Provider Enrollment.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750455952 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Egleston Affiliated Services |
| Other name | <Unavail> |
| Practice address | 2041 MESA VALLEY WAY, SUITE 185, Austell, GA, 30106 |
| Phone | 4047858900 |
| Enumeration date | 2006-11-20 |
| Last updated in NPPES | 2023-04-03 |
Authorized official
| Name | Louetta Cody |
|---|---|
| Title | Manager, Provider Enrollment |
| Phone | 4047857876 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QU0200X | Urgent Care Clinic/Center | Primary | 044-079 | GA |
Copy-ready billing details
Provider: Egleston Affiliated Services NPI: 1750455952 Taxonomy: 261QU0200X (Urgent Care Clinic/Center) Address: 2041 MESA VALLEY WAY, SUITE 185, Austell, GA, 30106
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366444929 | East West Surgery Center Lp | Organization | Ambulatory Surgical Clinic/Center | Austell, GA |
| 1447245394 | Freddy Achecar | Individual | Orthopaedic Surgery Physician | Austell, GA |
| 1518952282 | Raj Bhole | Individual | Orthopaedic Surgery Physician | Austell, GA |
| 1790770477 | Anthony Carantzas | Individual | Orthopaedic Surgery Physician | Austell, GA |
| 1649267329 | Tapan Daftari | Individual | Orthopaedic Surgery of the Spine Physician | Austell, GA |
| 1407843824 | Scott Kleiman | Individual | Orthopaedic Surgery Physician | Austell, GA |
| 1912994344 | Scott Levere | Individual | Orthopaedic Hand Surgery Physician | Austell, GA |
| 1609863802 | Ali Mortazavi | Individual | Orthopaedic Surgery Physician | Austell, GA |
Verify this record
Cross-check NPI 1750455952 against the authoritative CMS record: view Egleston Affiliated Services on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Egleston Affiliated Services?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-04-03.