MEDICARE: ADVANCED CENTER FOR JOINT SURGERY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1447753173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CENTER FOR JOINT SURGERY, LLC

Provider Business Mailing Address
First Line	:	1100 JOHNSON FY RD NE BLDG II
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1709
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 HOWARD FARM DRIVE
Second Line	:	SUITE T100
City	:	CUMMING
State	:	GA
Zip	:	30041-3004
Country	:	US
Telephone Number	:	470-839-9200
Fax Number	:

Authorized Official
Title or Position	:	VP ADMIN SRVS./CCO
Name	:	JORGE J. HERNANDEZ
Credential	:
Telephone Number	:	404-851-6378

Provider Enumeration Date	:	03/08/2018
Last Update Date	:	05/14/2026

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