Meredyth Surgery Center, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEREDYTH SURGERY CENTER, PC

Practice address

2709 Meredyth Dr
Suite 210
Albany, GA 31707-0222

Phone

(229) 432-7012

Fax

(229) 435-0211

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debra G Cannon

Title

Insurance Administrator

Phone

(229) 432-7012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Meredyth Surgery Center PCCCN 11C0001270

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Chandler Berg, MD

  • Ophthalmology Physician
  • Albany, GA
  • NPI 1962498204
  NPD
• Clifton C Fay Jr.

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1720422520
  NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1366412710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-432-7012",
            "fax_number": "229-435-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 MEREDYTH DR",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070222",
            "telephone_number": "229-432-7012",
            "fax_number": "229-435-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDYTH SURGERY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "229-432-7012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Mendenhall, MD
• Belinda Jean Menke, NP
• Monica A Mennite, AUD, CCC-A
• Felicia Mensah
• Cherreka Mercer
• Deshara Junay Merkerson, DDS
• Merritt C Logan Speech Language Pathology
• Youseline Valencia Mesamours, NP
• Rebecca Meshanko, RDH
• David R Metheny, APRN

• Ambulatory Surgical Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.