J Melvin Deese Jr, MD PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

063-160 Issued in GA

Legal business name

J MELVIN DEESE JR, MD PC

Doing business as

Summit Ambulatory Surgery Center

Practice address

1111 Glynco Pkwy Ste 100
Brunswick, GA 31525-7922

Phone

(912) 262-9961

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Paul R. Lucas

Title

Financial Admin

Phone

(912) 262-9961

Specialties & licenses 1

Addresses

Other names 1

• Summit Ambulatory Surgery Center Doing business as

Practitioners 1

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

• Michael James Sullivan, M.D.

  • Orthopaedic Surgery Physician
  • Brunswick, GA
  • NPI 1255341988
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780694455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257922",
            "telephone_number": "912-262-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 100",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257922",
            "telephone_number": "912-262-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MELVIN DEESE JR, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FINANCIAL ADMIN",
        "authorized_official_telephone_number": "912-262-9961"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "063-160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rebecca Anne Irwin, PA-C
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• J.H. Harvey Co., LLC (Harveys Supermarket Pharmacy #2312)
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• Seema Banu Jabbar
• Pauline Laggui Jacinto, M.D.
• Avanelle V Jack, MD

• Ambulatory Surgical Clinic/Center in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Ambulatory Surgical Clinic/Center 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.