Active NPI
Southern Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Lagrange, GA
National Provider Identifier
1639179914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 141-136
- Legal business name
- SOUTHERN SURGERY CENTER, LLC
- Practice address
- 1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041 - Phone
- (706) 812-9902
- NPI assigned
- Jul 28, 2005
- Last updated
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel K Guy, MD
- Title
- Ceo
- Phone
- (706) 812-9902
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 141-136 | GA | Primary |
Addresses
Primary practice location
1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041
Mailing address
1805 Vernon Rd
Suite C
Lagrange, GA 30240-4041
Phone (706) 812-9902
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Orthopaedic Surgery Physician
- Lagrange, GA
- NPI 1609846831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1639179914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 VERNON RD",
"address_2": "SUITE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404041",
"telephone_number": "706-812-9902",
"fax_number": "706-812-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 VERNON RD",
"address_2": "SUITE C",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404041",
"telephone_number": "706-812-9902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "GUY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "706-812-9902",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "141-136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
- Southern Center for Orthopedics (Southern Orthopedics Sports Medicine)
- Southern Center for Womens Health PC (The Womens Center)
- Southern Crescent Anesthesiology, PC
- Southern Rehab and Sports Medicine, Inc.
- Southern Surgery Center LLC
- Southern Therapy Services, Inc.
- Stantafferta McPhee Sparrow, PA
- Jennifer Nichole Speelman, FNP-C
- Erin Thompson Spinks, NP
- Tiffanie Danyelle Stamey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.