NPIMap

Organization Active NPI

Peach State Surgical Centers, Inc

  • Podiatrist
  • Perry, GA
National Provider Identifier
1740312040
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD000829 Issued in GA
Legal business name
PEACH STATE SURGICAL CENTERS, INC
Practice address
1040 Morningside Dr
Perry, GA 31069-2904
Phone
(478) 988-4676
Fax
(478) 987-7907
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Sarvepalli Jokhai, DPMNPI 1831260041
Title
Owner
Phone
(478) 475-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X POD000829 GA Primary

Addresses

Primary practice location

1040 Morningside Dr
Perry, GA 31069-2904

Mailing address

PO Box 6007
Warner Robins, GA 31095-6007
Phone (478) 929-0036

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Peach State Surgical Centers IncCCN 11C0001301
Medicare certification status
Terminated Voluntary: other reason for withdrawal, Aug 1, 2024From the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1740312040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956007",
            "telephone_number": "478-929-0036",
            "fax_number": "478-929-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692904",
            "telephone_number": "478-988-4676",
            "fax_number": "478-987-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH STATE SURGICAL CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "JOKHAI",
        "authorized_official_first_name": "SARVEPALLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-475-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.