Organization Active NPI

GC Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
National Provider Identifier
1831746007
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GC SURGERY CENTER LLC
Practice address
6326 Peake Rd
Macon, GA 31210-3960
Phone
(478) 254-6608
Fax
(478) 254-6689
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Joshua R Groves, MDNPI 1528281276
Title
Medical Director
Phone
(803) 252-7979

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6326 Peake Rd
Macon, GA 31210-3960

Mailing address

6326 Peake Rd
Macon, GA 31210-3960
Phone (478) 246-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191106003531 GA Part B Supplier - Ambulatory Surgical Center 2264864578 Practice locations: Macon, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
GC Surgery Center LLCCCN 11C0001523
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2177348GC Surgery Center, LLC6326 Peake Road, Macon, GA 31210Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

6326 Peake Rd
Macon, GA 31210
Phone (478) 246-7474

6326 Peake Rd
Bldg Developmen
Macon, GA 31210

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1831746007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 PEAKE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103960",
            "telephone_number": "478-246-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 PEAKE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103960",
            "telephone_number": "478-254-6608",
            "fax_number": "478-254-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-252-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.