NPIMap

Organization Active NPI

Georgia Mountain Surgical Associates

  • Specialist
  • Blairsville, GA
National Provider Identifier
1487774261
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
058708 Issued in GA
Legal business name
GEORGIA MOUNTAIN SURGICAL ASSOCIATES
Practice address
37 Hospital Way
Suite B Building 9
Blairsville, GA 30512-3128
Phone
(706) 781-6950
Fax
(706) 781-6955
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Jayme R Dills
Title
Office Manager
Phone
(706) 781-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 058708 GA Primary

Addresses

Primary practice location

37 Hospital Way
Suite B Building 9
Blairsville, GA 30512-3128

Mailing address

PO Box 2238
Blairsville, GA 30514-2238
Phone (706) 781-6950

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1487774261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2238",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305142238",
            "telephone_number": "706-781-6950",
            "fax_number": "706-781-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HOSPITAL WAY",
            "address_2": "SUITE B BUILDING 9",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123128",
            "telephone_number": "706-781-6950",
            "fax_number": "706-781-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "DILLS",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-781-6950"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "058708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.