Surgery Center of Columbia County, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF COLUMBIA COUNTY, LLC

Doing business as

Surgery Center of Columbia County

Practice address

4300 University Pkwy
Evans, GA 30809-3063

Phone

(706) 854-3000

Fax

(706) 854-3189

NPI assigned

Aug 8, 2006

Last updated

Jun 8, 2011By 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

Ann Turner

Title

Administrator

Phone

(706) 854-3020

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center of Columbia County Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Surgery Center of Columbia County LLCCCN 11C0001289

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phillip Lawrence Coule, MD

  • Emergency Medicine Physician
  • Augusta, GA
  • NPI 1790895357
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1598775231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 UNIVERSITY PKWY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093063",
            "telephone_number": "706-854-3000",
            "fax_number": "706-854-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 UNIVERSITY PKWY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093063",
            "telephone_number": "706-854-3000",
            "fax_number": "706-854-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF COLUMBIA COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-854-3020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Columbia County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sasha Sullivan
• Melissa Lampp Sumner, APRN, BC
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• Laura Suppa, OT
• Gregory Tyler Swisstack
• Danisha Tankard
• Angel Tansley, CD(DONA)
• Amanda Tapley McGriff, M.D.
• Tapleys Personal Care Home

• Ambulatory Surgical Clinic/Center in Evans, GA
• Providers in Evans, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.