NPIMap

Organization Active NPI

Surgical Clinic of Griffin-Spalding, P.C.

  • Surgery Physician
  • Griffin, GA
National Provider Identifier
1336470848
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL CLINIC OF GRIFFIN-SPALDING, P.C.
Practice address
220 W College St Ste B
Griffin, GA 30224-4250
Phone
(770) 233-1080
Fax
(770) 233-3680
NPI assigned
Jan 22, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. William Douglas Lazenby Jr., M.D.NPI 1245286376
Title
President
Phone
(770) 233-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

220 W College St Ste B
Griffin, GA 30224-4250

Mailing address

220 W College St Ste B
Griffin, GA 30224-4250
Phone (770) 233-1080

Other identifiers 1

IdentifierTypeStateIssuer
202G705872OtherGAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

220 W College St
Ste B
Griffin, GA 30224
Phone (770) 233-1080

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1336470848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244250",
            "telephone_number": "770-233-1080",
            "fax_number": "770-233-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W COLLEGE ST STE B",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244250",
            "telephone_number": "770-233-1080",
            "fax_number": "770-233-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CLINIC OF GRIFFIN-SPALDING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "LAZENBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-233-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "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 PTAN",
            "identifier": "202G705872",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.