NPIMap

Organization Active NPI

North West Georgia Surgical Associates

  • Surgery Physician
  • Calhoun, GA
National Provider Identifier
1215082490
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTH WEST GEORGIA SURGICAL ASSOCIATES
Practice address
1035 Red Bud Rd NE
Suite 105
Calhoun, GA 30701-2082
Phone
(706) 602-8300
Fax
(706) 625-6955
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Dr. William L Theus, M.D.
Title
President
Phone
(706) 602-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1035 Red Bud Rd NE
Suite 105
Calhoun, GA 30701-2082

Mailing address

PO Box 1628
Calhoun, GA 30703-1628
Phone (706) 602-8300

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1215082490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1628",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307031628",
            "telephone_number": "706-602-8300",
            "fax_number": "706-625-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 RED BUD RD NE",
            "address_2": "SUITE 105",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012082",
            "telephone_number": "706-602-8300",
            "fax_number": "706-625-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WEST GEORGIA SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "THEUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-602-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.