Organization Active NPI

Thomasville Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Thomasville, GA
National Provider Identifier
1437183365
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
11C0001180 Issued in GA
Legal business name
THOMASVILLE SURGERY CENTER, INC.
Practice address
2282 E Pinetree Blvd
Suite B
Thomasville, GA 31792-4807
Phone
(229) 226-6000
Fax
(229) 226-5859
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Ms. Elizabeth Law
Title
Office Manager
Phone
(229) 226-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 11C0001180 GA Primary

Addresses

Primary practice location

2282 E Pinetree Blvd
Suite B
Thomasville, GA 31792-4807

Mailing address

2282 E. Pinetree Blvd, Suite B
Thomasville, GA 31792-4807
Phone (229) 226-6000

Other identifiers 5

IdentifierTypeStateIssuer
2271842OtherUNITED HEALTHCARE
490004937OtherRAILROAD MEDICARE
51404873OtherGABLUE CROSS
GRP3917OtherGAMEDICARE GROUP NUMBER
000896255AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080724000541 GA Part B Supplier - Ambulatory Surgical Center 0244303154 Practice locations: Thomasville, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Thomasville Surgery CenterCCN 11C0001180
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2282 E Pinetree Blvd
#B
Thomasville, GA 31792
Phone (229) 226-6000

2282 E Pinetree Blvd
Ste B
Thomasville, GA 31792
Phone (228) 226-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1437183365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E. PINETREE BLVD, SUITE B",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 E PINETREE BLVD",
            "address_2": "SUITE B",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASVILLE SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-226-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "11C0001180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2271842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490004937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51404873",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP3917",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000896255A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.