Active NPI
The Women'S Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Statesboro, GA
National Provider Identifier
1831301050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 016-232
- Legal business name
- THE WOMEN'S SURGERY CENTER, LLC
- Practice address
- 1523 Fair Rd
Statesboro, GA 30458-6025 - Phone
- (912) 871-3000
- Fax
- (912) 871-3100
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary E Collins
- Title
- Administrator
- Phone
- (912) 871-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 016-232 | GA | Primary |
Addresses
Primary practice location
1523 Fair Rd
Statesboro, GA 30458-6025
Mailing address
PO Box 1958
Statesboro, GA 30459-1958
Phone (912) 871-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0998692 | Women'S Surgery Center, the | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Statesboro, GA
- NPI 1316900517
-
- Specialist
- Statesboro, GA
- NPI 1659334597
-
- Obstetrics & Gynecology Physician
- Statesboro, GA
- NPI 1609877059
-
- Certified Registered Nurse Anesthetist
- Fort Stewart, GA
- NPI 1285626663
-
- Anatomic Pathology & Clinical Pathology Physician
- Statesboro, GA
- NPI 1205814175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831301050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1958",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304591958",
"telephone_number": "912-871-3000",
"fax_number": "912-871-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 FAIR RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304586025",
"telephone_number": "912-871-3000",
"fax_number": "912-871-3100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WOMEN'S SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "912-871-3000"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "016-232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- THCH Personal Care
- The Neurological Center of East Georgia PC
- The Neurological Institute of Savannah & Center for Spine P C
- The Speech Path of Statesboro, PC
- The Urgent Care Center of Richmond Hill, LLC
- Therapy Spot LLC
- Thomas Dental Center
- Andrea Elizabeth Thomas, O.D.
- Cyntoria De'Asia Thomas
- Fionn Thomas, D.M.D.
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.