Organization Active NPI

Georgia Neurosurgical Institute Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
National Provider Identifier
1710290606
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER
Doing business as
Georgia Neurosurgical Institute Outpatient Surgery Center
Practice address
840 Pine St
Suite 810
Macon, GA 31201-2100
Phone
(478) 743-7092
Fax
(478) 743-0523
NPI assigned
Jul 20, 2010
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Bernadine Bell, AS, CPC, CBP, CPC-I
Title
Appeal Denials
Phone
(478) 743-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

840 Pine St
Suite 810
Macon, GA 31201-2100

Mailing address

840 Pine St
Suite 810
Macon, GA 31201-2100
Phone (478) 743-7092

Other names 1

  • GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221000023 GA Part B Supplier - Ambulatory Surgical Center 6103007414 Receives reassigned benefits from 2 practitioners
Practice locations: Macon, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Georgia Neurosurgical Institute Outpatient Surgery CenterCCN 11C0001363
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2010738Ga Neurosurgical Institute Outpatient Surgery, Ctr840 Pine Street, Suite 810, Macon, GA 31201Certificate of waiverAug 3, 2026

National Provider Directory

National Provider Directory

Locations

840 Pine St
Ste 810
Macon, GA 31201
Phone (478) 633-6399

840 Pine St
Ste 880
Macon, GA 31201
Phone (478) 743-7092

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1710290606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 810",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 810",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_title_or_position": "APPEAL DENIALS",
        "authorized_official_telephone_number": "478-743-7092",
        "authorized_official_credential": "AS, CPC, CBP, CPC-I"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGIA NEUROSURGICAL INSTITUTE OUTPATIENT SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.