Southwest Surgical Associates, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHWEST SURGICAL ASSOCIATES, PC

Practice address

311 Peachtree St
Jesup, GA 31545-0245

Phone

(912) 427-9169

Fax

(912) 427-9171

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Reginald Antonio Williams, M. D.

Title

Surgeon

Phone

(404) 354-1983

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1720392129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980467",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "404-354-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64061377",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Family Medicine, LLC
• Southern Medical of Jesup LLC
• Southern Pharmacy Group LLC
• Southwest Surgical Associates, P.C.
• Southwest Surgical Associates, P.C.
• Robson S Spinola, D.P.M.
• Jodi Cheree Spires, LPC
• Sports Medicine and Rehabilitative Therapy
• Stanley D. Jones, M.D.P.C.
• Stephen P Smith, M. D., P. C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.