Surgery Center of Georgetown, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF GEORGETOWN, LLC

Doing business as

Georgetown Surgery Center

Practice address

1101 Wolf Lake Dr Ste 150
Georgetown, TX 78628-3778

Phone

(377) 340-4100

Fax

(737) 340-4101

NPI assigned

Apr 6, 2023

Last updated

Oct 8, 2026By 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

William Milo

Title

VP Operationas

Phone

(239) 249-4941

Specialties & licenses 1

Addresses

Other names 1

• Georgetown Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Surgery Center of Georgetown LLC Dba Georgetown Surgery CenterCCN 45C0451275

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

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.

• Joseph P Jeanette II, DO

  • Surgery Physician
  • Georgetown, TX
  • NPI 1881738649
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1366137440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WOLF LAKE DR STE 150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283778",
            "telephone_number": "737-340-4100",
            "fax_number": "737-340-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WOLF LAKE DR STE 150",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283778",
            "telephone_number": "377-340-4100",
            "fax_number": "737-340-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF GEORGETOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MILO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "VP OPERATIONAS",
        "authorized_official_telephone_number": "239-249-4941"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Netra L Sukhatankar, O.T.
• Carsen Noel Sulzer, MD
• Summit Wellness - Central Texas LLC
• Sunshine Counselor, LLC (Mental Health)
• Brenna Sura, DDS
• Susan D. Tower, MD PA
• Susan Depoliti Smith
• Suzanne S Sparks
• Joanne Terry Swanson, M.S.W.
• Lauryn Sweet

• Ambulatory Surgical Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.