NPIMap

Organization Active NPI

Apex Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Brunswick, GA
National Provider Identifier
1134589054
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
31480 Issued in GA
Legal business name
APEX SURGERY CENTER, LLC
Practice address
3243 Glynn Ave
Brunswick, GA 31520-4851
Phone
(912) 574-3660
Fax
(912) 265-9697
NPI assigned
Mar 4, 2016
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dr. Ralph W. Morales, DONPI 1790773703
Title
Owner
Phone
(912) 265-9006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 31480 GA Primary
Ambulatory Surgical Clinic/Center 261QA1903X 52148 GA
Ambulatory Surgical Clinic/Center 261QA1903X 67817 GA
Ambulatory Surgical Clinic/Center 261QA1903X 50358 GA

Addresses

Primary practice location

3243 Glynn Ave
Brunswick, GA 31520-4851

Mailing address

3243 Glynn Avenue
Brunswick, GA 31520-7040
Phone (912) 574-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134589054. Details of each certification follow.

Ambulatory surgical center certification: CCN 11C0001466

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
APEX SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 16, 2017
Last certification
Jun 16, 2017
Ownership / control type
Proprietary
Facility address
3243 Glynn Avenue
Brunswick, GA 31520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1134589054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 GLYNN AVENUE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207040",
            "telephone_number": "912-574-3660",
            "fax_number": "912-265-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3243 GLYNN AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204851",
            "telephone_number": "912-574-3660",
            "fax_number": "912-265-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-265-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "31480",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "52148",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "67817",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "50358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.