Sandersville Surgical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

054030 Issued in GA

Legal business name

SANDERSVILLE SURGICAL

Doing business as

Rawl Southern Surgical LLC

Practice address

501 Sparta Rd Ste C
Sandersville, GA 31082-1314

Phone

(478) 553-0232

Fax

(478) 553-1280

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Rawl, MDNPI 1144272576

Title

MD

Phone

(478) 553-0232

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• RAWL SOUTHERN SURGICAL LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Kirkland Rawl, RPH

  • Pharmacist
  • Nashville, TN
  • NPI 1144272576
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679626568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD STE C",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821314",
            "telephone_number": "478-553-0232",
            "fax_number": "478-553-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SPARTA RD STE C",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821314",
            "telephone_number": "478-553-0232",
            "fax_number": "478-553-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDERSVILLE SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAWL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "478-553-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "054030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAW001",
            "identifier": "SECURE",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "360483",
            "identifier": "WELLCARE",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAWL SOUTHERN SURGICAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandersville Drug Co., LLC (Sandersville Drug Co.)
• Sandersville Drug Co., LLC
• Sandersville Hypertension & Nephrology PC
• Sandersville Primary & Urgent Care, LLC
• Sandersville Speech and Swallowing LLC
• Robert Hugh Sasser Jr., DDS
• SBF LLC
• Ramona Sheppard
• John Dawson Shipp V
• Smith Medical Nursing Care Center, Inc

• Surgery Physician in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Surgery Physician in Georgia

• 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.