Northeast Georgia Surgical Consultants PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHEAST GEORGIA SURGICAL CONSULTANTS PC

Practice address

1270 Prince Ave
Suite 102
Athens, GA 30606-2762

Phone

(706) 543-9023

Fax

(706) 543-8160

NPI assigned

Nov 27, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Steve M. Shirley, MD

Title

Medical Director

Phone

(706) 543-9023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1174506844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 102",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-543-9023",
            "fax_number": "706-543-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 PRINCE AVE",
            "address_2": "SUITE 102",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062762",
            "telephone_number": "706-543-9023",
            "fax_number": "706-543-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA SURGICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-27",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-543-9023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Georgia Gastroenterology Associates, PC
• Northeast Georgia House Calls LLC
• Northeast Georgia Nephrology & Hypertension Clinic, PC
• Northeast Georgia Procedure Center LLC
• Northeast Georgia Regional Commission, Inc.
• Northeast Georgia Vision Care LLC
• Northeast Georgia Wellness Associates, LLC
• Northeast Health District
• Northrise Psychiatric and Addiction Medicine
• Alissa Northrup, LAPC

• Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.