Organization Active NPI

Midtown Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Columbus, GA
National Provider Identifier
1295287522
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDTOWN SURGERY CENTER
Practice address
1224 Stark Ave
Columbus, GA 31906-2500
Phone
(706) 243-7010
Fax
(706) 243-7019
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Gary N Dawson, MDNPI 1841371499
Title
Physician/Owner
Phone
(706) 243-7010

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

1224 Stark Ave
Columbus, GA 31906-2500

Mailing address

1224 Stark Ave
Columbus, GA 31906-2500
Phone (706) 243-7010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170814002250 GA Part B Supplier - Ambulatory Surgical Center 4284906082 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Midtown Surgery CenterCCN 11C0001465
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2118407Midtown Surgery Center1224 Stark Avenue, Columbus, GA 31906Certificate of waiverSep 6, 2026

National Provider Directory

National Provider Directory

Locations

1224 Stark Ave
Columbus, GA 31906
Phone (706) 243-7010

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": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1295287522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 STARK AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062500",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 STARK AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062500",
            "telephone_number": "706-243-7010",
            "fax_number": "706-243-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "706-243-7010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.