Organization Active NPI

Limestone Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
National Provider Identifier
1407188659
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
069-426 Issued in GA
Legal business name
LIMESTONE SURGERY CENTER LLC
Practice address
2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Phone
(678) 928-4268
Fax
(678) 928-4270
NPI assigned
Feb 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Scott M Stewart, MD
Title
Owner
Phone
(678) 928-4268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 069-426 GA Primary

Addresses

Primary practice location

2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401

Mailing address

2406 Lighthouse Manor Dr
Gainesville, GA 30501-7401
Phone (678) 928-4268

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110207000708 GA Part B Supplier - Ambulatory Surgical Center 0244410348 Practice locations: Gainesville, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Limestone Surgery Center LLCCCN 11C0001358
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
11D2004824Limestone Surgery Center, LLC2406 Lighthouse Manor Drie, Suite B, Gainesville, GA 30501Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

2406 Lighthouse Manor Dr
Ste B
Gainesville, GA 30501

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1407188659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 LIGHTHOUSE MANOR DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017401",
            "telephone_number": "678-928-4268",
            "fax_number": "678-928-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 LIGHTHOUSE MANOR DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017401",
            "telephone_number": "678-928-4268",
            "fax_number": "678-928-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMESTONE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-928-4268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "069-426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.