North Georgia Outpatient Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

064-078 Issued in GA

Legal business name

NORTH GEORGIA OUTPATIENT SURGERY CENTER INC

Practice address

795 Red Bud Rd NE
Calhoun, GA 30701-1966

Phone

(706) 629-1852

Fax

(706) 629-8004

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Herbert E. Kosmahl, D.P.M.NPI 1346304961

Title

President and Medical Director

Phone

(706) 629-1852

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

North Georgia Outpatient Surgery CenterCCN 11C0001053

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Herbert E. Kosmahl DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Calhoun, GA
  • NPI 1962551952

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herbert E Kosmahl, D.P.M.

  • Podiatrist
  • Calhoun, GA
  • NPI 1346304961
  NPD Authorized official
• Michael C. McGlamry, D.P.M.

  • Podiatrist
  • Cumming, GA
  • NPI 1588620009
  NPD
• Anna M McLemore, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Calhoun, GA
  • NPI 1831453034
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1114081635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011966",
            "telephone_number": "706-629-1852",
            "fax_number": "706-629-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011966",
            "telephone_number": "706-629-1852",
            "fax_number": "706-629-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA OUTPATIENT SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "KOSMAHL",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-629-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "064-078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51001641-002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008544",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586506A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Calhoun, GA
• Providers in Calhoun, 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 Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.