NPIMap

Organization Active NPI

Womens Center for Advanced Surgery Inc

  • Ambulatory Surgical Clinic/Center
  • Tifton, GA
National Provider Identifier
1295086049
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WOMENS CENTER FOR ADVANCED SURGERY INC
Practice address
1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone
(229) 391-3500
Fax
(229) 386-9380
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
James Howard, M.D.NPI 1649281064
Title
Owner
Phone
(229) 391-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1948 Old Ocilla Rd
Tifton, GA 31794-1644

Mailing address

1948 Old Ocilla Road
Tifton, GA 31794

Other practice location 1

10600 Lochridge Blvd
Covington, GA 30014
Phone (229) 391-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130419000247 GA Part B Supplier - Ambulatory Surgical Center 3678719556 Receives reassigned benefits from 1 practitioner
Practice locations: Tifton, GA

National Provider Directory

National Provider Directory

Locations

514 S Main St
Moultrie, GA 31768

1948 Old Ocilla Rd
Ste B
Tifton, GA 31794
Phone (229) 386-5222

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1295086049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA ROAD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941644",
            "telephone_number": "229-391-3500",
            "fax_number": "229-386-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Lochridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "30014",
            "country_code": "US",
            "telephone_number": "229-391-3500",
            "fax_number": "229-391-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOMENS CENTER FOR ADVANCED SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-391-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.