OrganizationActive
Coosa Procedure Center LLC
NPI 1821183237 · Ambulatory Surgical Clinic/Center · Rome, GA
Provider details
- NPI number
- 1821183237
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawnetta Holladay, Ceo(706) 549-8114
- License
- 057288 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18 Riverbend Dr Sw Ste 120
Rome, GA 30161-6019
Phone: (706) 378-1202
Fax: (706) 378-1204
Street-level locationGet directions
Mailing address
Po Box 80883
Athens, GA 30608-0883
Additional practice locations (1)
- 18 Riverbend PkwySuite 120Rome, GA 30161Phone: (706) 549-8114Fax: (706) 549-0151
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2018-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.