Macon Outpatient Surgery Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MACON OUTPATIENT SURGERY INC

Practice address

3708 Northside Dr
Macon, GA 31210-2404

Phone

(478) 745-4206

Fax

(478) 254-5463

NPI assigned

Aug 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Georgia Lee

Title

Chief Operating Officer

Phone

(478) 745-4206

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Macon Outpatient Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Macon Outpatient Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
  • NPI 1386652667
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1104072453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206",
            "fax_number": "478-254-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206",
            "fax_number": "478-254-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON OUTPATIENT SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "478-745-4206"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00821697A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macon Orthopaedic & Hand Center, PA
• Macon Orthopaedic & Hand Center, PA
• Macon Orthopaedic & Hand Center, PA
• Macon Orthopaedics & Integrative Sports Medicine Center, PC
• Macon Orthopedic & Hand Center PA
• Macon Outpatient Surgery, LLC
• Macon Pain Center, P.C.
• Macon Periodontics and Implant Dentistry, LLC
• Macon Physical Therapy
• Macon Psychiatric Hospitalists, LLC

• Ambulatory Surgical Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.