The Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

106-216 Issued in GA

Legal business name

THE SURGERY CENTER, LLC

Practice address

2548 Weems Rd
Columbus, GA 31909-6248

Phone

(706) 323-8803

Fax

(706) 323-9101

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Simmons, RN, BSN, MSHPA

Title

Administrator

Phone

(706) 323-8803

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

The Surgery Center LLCCCN 11C0001170

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

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

• Hughston Hospital, Inc.

  dba Northside Medical Center

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308

  Member Of

  NPD member
• Piedmont Healthcare Inc

  • Cardiovascular Disease Physician
  • Stockbridge, GA
  • NPI 1376624940

  Member Of

  NPD member

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1609871847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 WEEMS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096248",
            "telephone_number": "706-323-8803",
            "fax_number": "706-323-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 WEEMS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096248",
            "telephone_number": "706-323-8803",
            "fax_number": "706-323-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-323-8803",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MSHPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "106-216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00871164A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERSCOMP PROVIDER #",
            "identifier": "158538900",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR PROVIDER #",
            "identifier": "490004760",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Pact Program
• The Relief Institute of Columbus
• The Relief Institute of Columbus
• The River Psychotherapy Associates
• The Sunshine Agency, LLC
• David A Theobald, FNP
• Kamie D Theobald, FNP
• Therapies Leading Care LLC
• Therapy South - Columbus LLC
• Theus W Rogers PC

• Ambulatory Surgical Clinic/Center in Columbus, GA
• Providers in Columbus, 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 Jul 17, 2013; 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.