Organization Active NPI

Major Surgical Associates, LLC

  • Surgery Physician
  • Lagrange, GA
National Provider Identifier
1750116380
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MAJOR SURGICAL ASSOCIATES, LLC
Practice address
1075 Lafayette Pkwy Ste 210
Lagrange, GA 30241-3733
Phone
(706) 803-1800
Fax
(229) 331-7256
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. Grant Ralston Major IINPI 1144548850
Title
Managing Partner
Phone
(706) 302-5556

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1075 Lafayette Pkwy Ste 210
Lagrange, GA 30241-3733

Mailing address

PO Box 96617
Charlotte, NC 28296-0617
Phone (706) 803-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241226001861 GA Part B Supplier - Clinic/Group Practice 0840727178 Receives reassigned benefits from 1 practitioner
Practice locations: Lagrange, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1750116380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96617",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282960617",
            "telephone_number": "706-803-1800",
            "fax_number": "229-331-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 LAFAYETTE PKWY STE 210",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302413733",
            "telephone_number": "706-803-1800",
            "fax_number": "229-331-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "RALSTON",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "706-302-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.