Surgical Practice Facility

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL PRACTICE FACILITY

Practice address

701 Bluebird Blvd
Fort Valley, GA 31030-5085

Phone

(478) 825-7000

Fax

(478) 825-4485

NPI assigned

Apr 2, 2009

Last updated

Apr 2, 2009By 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

Nancy Peed

Title

Ceo

Phone

(478) 825-8691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1396987582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BLUEBIRD BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305085",
            "telephone_number": "478-825-7000",
            "fax_number": "478-825-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BLUEBIRD BLVD",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305085",
            "telephone_number": "478-825-7000",
            "fax_number": "478-825-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PRACTICE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "PEED",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-825-8691"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Alvin Sanders, C.R.N.A.
• Laton Slappy
• Crystal V Small, ATC
• Kelsey Chason Stanford, MD
• Sheena K Stinson
• Dawn Sutton
• Labarbra Taylor
• TCM Counseling & Training, LLC
• The Medical Center of Peach County, Inc (Atrium Health Navicent Primary Care Fort Valley)
• The Peach Pit

• Surgery Physician in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.