NPIMap

Organization Active NPI

Southwest Georgia Surgical Associates, PC

  • Surgery Physician
  • Americus, GA
National Provider Identifier
1609987262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTHWEST GEORGIA SURGICAL ASSOCIATES, PC
Practice address
100 Wheatley Dr
Suite 305
Americus, GA 31709-3788
Phone
(229) 928-1100
Fax
(229) 928-1255
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keali Driscoll
Title
Account Manager
Phone
(630) 285-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

100 Wheatley Dr
Suite 305
Americus, GA 31709-3788

Mailing address

100 Wheatley Dr
PO Box 663, Suite 305
Americus, GA 31709-3788
Phone (229) 928-1100

National Provider Directory

National Provider Directory

Locations

100 Wheatley Dr
Ste 305
Americus, GA 31709
Phone (229) 924-7898

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609987262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WHEATLEY DR",
            "address_2": "PO BOX 663, SUITE 305",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093788",
            "telephone_number": "229-928-1100",
            "fax_number": "229-928-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHEATLEY DR",
            "address_2": "SUITE 305",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093788",
            "telephone_number": "229-928-1100",
            "fax_number": "229-928-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST GEORGIA SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "KEALI",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "630-285-1530"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.