Coosa Procedure Center LLC
Coosa Procedure Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Rome, GA, holding Type 2 (organization) NPI 1821183237 since 2006. The authorized official on file is Dawnetta Holladay, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821183237 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Coosa Procedure Center LLC |
| Practice address | 18 RIVERBEND DR SW STE 120, Rome, GA, 30161 |
| Phone | 7063781202 |
| Fax | 7063781204 |
| Enumeration date | 2006-10-03 |
| Last updated in NPPES | 2018-01-08 |
Authorized official
| Name | Dawnetta Holladay |
|---|---|
| Title | Ceo |
| Phone | 7065498114 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 057288 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196957398A | Medicaid | GA | — |
Copy-ready billing details
Provider: Coosa Procedure Center LLC NPI: 1821183237 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 18 RIVERBEND DR SW STE 120, Rome, GA, 30161
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205371325 | Rhonda Puckett | Individual | Family Nurse Practitioner | Rome, GA |
| 1386213460 | Georgia Interventional Pain - I, LLC | Organization | Ambulatory Surgical Clinic/Center | Rome, GA |
Verify this record
Cross-check NPI 1821183237 against the authoritative CMS record: view Coosa Procedure Center LLC 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
Who is the authorized official for Coosa Procedure Center LLC?
What is the NPI number for Coosa Procedure Center LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-01-08.