Organization Active NPI

Middle Georgia Surgical Institute

  • Surgery Physician
  • Warner Robins, GA
National Provider Identifier
1811543184
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MIDDLE GEORGIA SURGICAL INSTITUTE
Practice address
504 Osigian Blvd Ste 1
Warner Robins, GA 31088-8013
Phone
(478) 219-7396
Fax
(949) 404-8490
NPI assigned
Aug 13, 2019
Last updated
Feb 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Patrick Nartey Narh-Martey, MDNPI 1891074464
Title
Owner
Phone
(478) 219-7396

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
Medical Specialty Clinic/Center 261QM2500X NU

Addresses

Primary practice location

504 Osigian Blvd Ste 1
Warner Robins, GA 31088-8013

Mailing address

504 Osigian Blvd Ste 1
Warner Robins, GA 31088-8013
Phone (478) 219-7396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200310002849 GA Part B Supplier - Clinic/Group Practice 3072941848 Receives reassigned benefits from 2 practitioners
Practice locations: Warner Robins, GA

National Provider Directory

National Provider Directory

Locations

420 Charter Blvd
Ste 208
Macon, GA 31210
Phone (478) 219-7396

132 Byrd Way
Warner Robins, GA 31088

2929 Watson Blvd
Ste 2
Warner Robins, GA 31093
Phone (720) 924-6482

Practitioners & affiliated clinicians

Practitioners 2

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": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1811543184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 OSIGIAN BLVD STE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888013",
            "telephone_number": "478-219-7396",
            "fax_number": "949-404-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 OSIGIAN BLVD STE 1",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888013",
            "telephone_number": "478-219-7396",
            "fax_number": "949-404-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "NARH-MARTEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "NARTEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-219-7396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.