Active NPI
University Surgical Associates of Athens
Doing business as University Vascular
- Specialist
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UNIVERSITY SURGICAL ASSOCIATES OF ATHENS
- Doing business as
- University Vascular
- Practice address
- 1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314 - Phone
- (706) 549-8306
- Fax
- (706) 549-8351
- NPI assigned
- Aug 27, 2006
- Last updated
- Nov 15, 2023
- 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
- Jonathan D Woody, MD
- Title
- Secretary
- Phone
- (706) 549-8306
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314
Mailing address
1357 Oconee Connector
Building 300
Watkinsville, GA 30677
Phone (706) 549-8306
Other names 1
- University Vascular
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
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 |
|---|---|---|---|
| 11D2038600 | University Surgical Vascular | Certificate of waiver | Mar 21, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| University Surgical Associates of a | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1231 Baxter St
Athens, GA 30606
195 King Ave
Athens, GA 30606
Phone (706) 543-6261
346 Deep South Farm Rd
Blairsville, GA 30512
1856 Thompson Bridge Rd
Ste 102
Gainesville, GA 30501
Phone (770) 535-1948
620 J L White Dr
Ste 140B
Jasper, GA 30143
Phone (706) 692-9016
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Vascular Surgery Physician
- Watkinsville, GA
- NPI 1770570871
-
- Vascular Surgery Physician
- Watkinsville, GA
- NPI 1396878823
-
- Surgery Physician
- Watkinsville, GA
- NPI 1538134978
-
- Vascular Surgery Physician
- Watkinsville, GA
- NPI 1427045517
-
- Family Nurse Practitioner
- Athens, GA
- NPI 1902160112
-
- Surgical Physician Assistant
- Athens, GA
- NPI 1053776732
-
- Physician Assistant
- Athens, GA
- NPI 1649552878
-
- Physician Assistant
- Athens, GA
- NPI 1942772777
-
- Surgical Physician Assistant
- Gainesville, GA
- NPI 1386318608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1861500183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 OCONEE CONNECTOR",
"address_2": "BUILDING 300",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "30677",
"telephone_number": "706-549-8306",
"fax_number": "706-549-4099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 OCONEE CONNECTOR BLDG 300",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777314",
"telephone_number": "706-549-8306",
"fax_number": "706-549-8351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY SURGICAL ASSOCIATES OF ATHENS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-27",
"last_updated": "2023-11-15",
"certification_date": "2021-01-13",
"status": "A",
"authorized_official_last_name": "WOODY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "706-549-8306",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "University Vascular",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.