Organization Active NPI

Nexus of Albany Surgery Center LLC

Doing business as Nexus of Albany Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Albany, GA
National Provider Identifier
1356750707
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NEXUS OF ALBANY SURGERY CENTER LLC
Doing business as
Nexus of Albany Surgery Center
Practice address
2810 Meredyth Dr
Suite 101
Albany, GA 31707-2278
Phone
(229) 496-1874
Fax
(229) 496-1665
NPI assigned
Aug 11, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Josiah Simpson Matthews IV, M.D.NPI 1497717003
Title
Chairman of Board/Medical Director
Phone
(229) 496-1874

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 NU Primary

Addresses

Primary practice location

2810 Meredyth Dr
Suite 101
Albany, GA 31707-2278

Mailing address

2810 Meredyth Dr
Suite 101
Albany, GA 31707-2278
Phone (229) 496-1874

Other names 1

  • Nexus of Albany Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203000484 GA Part B Supplier - Ambulatory Surgical Center 1153643101 Practice locations: Albany, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Nexus of Albany Surgery Center LLCCCN 11C0001438
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
11D2083347Nexus of Albany Surgery Center, LLC2810 Meredyth Drive Suite 101, Albany, GA 31707Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

2810 Meredyth Dr
#101
Albany, GA 31707
Phone (229) 496-1874

2810 Meredyth Dr
Ste 101
Albany, GA 31707
Phone (229) 496-1874

Practitioners & affiliated clinicians

Practitioners 1

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1356750707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 MEREDYTH DR",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072278",
            "telephone_number": "229-496-1874",
            "fax_number": "229-496-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 MEREDYTH DR",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072278",
            "telephone_number": "229-496-1874",
            "fax_number": "229-496-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS OF ALBANY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "JOSIAH",
        "authorized_official_middle_name": "SIMPSON",
        "authorized_official_title_or_position": "CHAIRMAN OF BOARD/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "229-496-1874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nexus of Albany Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.