Surgical Associates of South Georgia, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF SOUTH GEORGIA, P.C.

Practice address

3004 2ND St SE
Moultrie, GA 31768-6797

Phone

(229) 985-1080

Fax

(229) 890-9743

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By 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

Kimberly Lynn Croft

Title

Office Manager

Phone

(229) 985-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Howard Laney Melton, M.D.

  • Surgery Physician
  • Moultrie, GA
  • NPI 1457327454
  NPD
• Kathryn H. Perri, P.A.-C.

  • Physician Assistant
  • Tifton, GA
  • NPI 1033186226
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1336337344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 2ND ST SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686797",
            "telephone_number": "229-985-1080",
            "fax_number": "229-890-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 2ND ST SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686797",
            "telephone_number": "229-985-1080",
            "fax_number": "229-890-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SOUTH GEORGIA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-985-1080"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP2637",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda D Strickland, FNP-C
• Christopher Lee Stroh, OT
• Ebony D Stubbins, FNP
• Mailyn Suarez
• Sunack Dialysis, LLC (Moultrie Home Training)
• Swartzentruber Medical Services LLC
• Gary Wade Swartzentruber, MD
• Tail Winds Residential, LLC
• Amanda Taylor, RN
• Janae Ashanti Taylor

• Surgery Physician in Moultrie, GA
• Providers in Moultrie, 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 4, 2007; 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.