Organization Active NPI

Surgical Associates of the Shoals, PC

  • Specialist
  • Sheffield, AL
National Provider Identifier
1790879559
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL ASSOCIATES OF THE SHOALS, PC
Practice address
1120 S Jackson Hwy
Suite 105
Sheffield, AL 35660
Phone
(256) 386-1125
Fax
(888) 745-7084
NPI assigned
Oct 3, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
James Ryan Conner, M.D.NPI 1760647556
Title
Ceo/Physician
Phone
(256) 386-1125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy
Suite 105
Sheffield, AL 35660

Mailing address

1120 S Jackson Hwy
Suite 105
Sheffield, AL 35660
Phone (256) 386-1125

National Provider Directory

National Provider Directory

Locations

203 Avalon Ave
Ste 290
Muscle Shoals, AL 35661
Phone (205) 386-1125

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1790879559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 105",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-1125",
            "fax_number": "888-745-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 105",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "35660",
            "telephone_number": "256-386-1125",
            "fax_number": "888-745-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF THE SHOALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "256-386-1125",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.