Plantation Ambulatory Surgery LTD.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

065-332 Issued in GA

Legal business name

PLANTATION AMBULATORY SURGERY LTD.

Practice address

390 1St Ave NE
Cairo, GA 39828-2119

Phone

(229) 377-1689

Fax

(229) 377-5710

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Lewis Taylor, M.D.

Title

Director

Phone

(229) 225-9805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 GORDON AVE.",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-225-9805",
            "fax_number": "229-225-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 1ST AVE NE",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282119",
            "telephone_number": "229-377-1689",
            "fax_number": "229-377-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION AMBULATORY SURGERY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "229-225-9805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "065-332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Cairo, GA
• Providers in Cairo, 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.