Surgery Center at Cypress Point LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SURGERY CENTER AT CYPRESS POINT LLC

Practice address

39 Kent Rd Ste 7
Tifton, GA 31794-1697

Phone

(229) 391-2910

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Misty Hooks

Title

Billing/Credentialing Supervisor

Phone

(229) 238-0265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Surgery Center at Cypress Point LLCCCN 11C0001476

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Glenn Goodman, MD

  • Pain Medicine Physician
  • Tifton, GA
  • NPI 1639392558
  Medicare reassignment NPD
• Don T Smith Jr., MD

  • Anesthesiology Physician
  • Cordele, GA
  • NPI 1053329268
  Medicare reassignment NPD
• Kelley H Plant, NP

  • Nurse Practitioner
  • Tifton, GA
  • NPI 1205114865
  NPD
• Travis Lee Bailey, D.O.

  • Pain Medicine Physician
  • Valdosta, GA
  • NPI 1164711313
  NPD (past)

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1245767672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7083",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937083",
            "telephone_number": "229-391-2910",
            "fax_number": "229-238-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 KENT RD STE 7",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941697",
            "telephone_number": "229-391-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER AT CYPRESS POINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "HOOKS",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "229-238-0265"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Melinda Stone, RN, MSN, FNP-C
• Jerry Sullivan, P.A.
• Margaret Lee Sullivan, LMT, CMT
• Kaylee Cheyenne Sumner, PHARMD
• Laura Sumner, MSN-FNP
• Kimberly Joan Swanson, PHARM.D
• Courtney L Taibi, FNP-C
• Alexia Michelle Tanner, LCSW
• Clayton Ross Tapp
• Amy Roberson Taylor, NP-C

• Interventional Pain Medicine Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.