Organization Active NPI

The Physicians Rome Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
National Provider Identifier
1477724250
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
057379 Issued in GA
Legal business name
THE PHYSICIANS ROME SURGERY CENTER
Practice address
18 Riverbend Dr SW
Suite 150
Rome, GA 30161-6013
Phone
(706) 314-1910
Fax
(706) 314-1901
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Anna Armstrong
Title
Director of Operations
Phone
(404) 816-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 057379 GA Primary

Addresses

Primary practice location

18 Riverbend Dr SW
Suite 150
Rome, GA 30161-6013

Mailing address

18 Riverbend Dr SW
Suite 150
Rome, GA 30161-6013
Phone (706) 314-1910

Other identifiers 1

IdentifierTypeStateIssuer
003203212AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081017000522 GA Part B Supplier - Ambulatory Surgical Center 5698833788 Practice locations: Rome, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Physicians Rome Surgery CenterCCN 11C0001319
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1477724250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW",
            "address_2": "SUITE 150",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616013",
            "telephone_number": "706-314-1910",
            "fax_number": "706-314-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RIVERBEND DR SW",
            "address_2": "SUITE 150",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616013",
            "telephone_number": "706-314-1910",
            "fax_number": "706-314-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICIANS ROME SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "404-816-3000"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "057379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003203212A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.