Active NPI
University Surgical Associates of Athens
- Specialist
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UNIVERSITY SURGICAL ASSOCIATES OF ATHENS
- Practice address
- 1357 Oconee Connector BLDG 300
Watkinsville, GA 30677-7314 - Phone
- (706) 549-8306
- Fax
- (706) 549-8351
- NPI assigned
- Aug 27, 2006
- 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
346 Deep South Farm Rd
Blairsville, GA 30512
1856 Thompson Bridge Rd
Ste 102
Gainesville, GA 30501
Phone (770) 535-1948
1010 Park Dr
Greensboro, GA 30642
Phone (706) 227-7850
620 J L White Dr
Ste 140B
Jasper, GA 30143
Phone (706) 692-9016
1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550
1357 Oconee Connector
Bldg 300
Watkinsville, GA 30677
Phone (706) 250-7796
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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.