The Georgia Surgery Clinic, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

037519 Issued in GA

Legal business name

THE GEORGIA SURGERY CLINIC, P.C.

Practice address

890 Atlanta St
Ste 161
Roswell, GA 30075-4456

Phone

(470) 306-1985

NPI assigned

Jan 8, 2007

Last updated

Oct 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Larue, C.S.A.

Title

C.E.O./Owner

Phone

(470) 306-1985

Specialties & licenses 1

Addresses

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.

• John P. Daly, M.D.

  • Surgery Physician
  • Atlanta, GA
  • NPI 1083673925
  NPD (past)
• Christopher John Hart, M.D.

  • Surgery Physician
  • Suwanee, GA
  • NPI 1134151582
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1285782680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 ATLANTA ST",
            "address_2": "STE 161",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754456",
            "telephone_number": "470-306-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ATLANTA ST",
            "address_2": "STE 161",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754456",
            "telephone_number": "470-306-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA SURGERY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "C.E.O./OWNER",
        "authorized_official_telephone_number": "470-306-1985",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.S.A."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "037519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Thames
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• The George Center Foundation (The George Center)
• The Homecare Specialists
• The Jordan Healthcare Solutions
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)
• The Kroger Co (Kroger Pharmacy)

• Surgery Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.