Active NPI
Piedmont Regional Surgical
- Surgery Physician
- Milledgeville, GA
National Provider Identifier
1881889871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PIEDMONT REGIONAL SURGICAL
- Practice address
- 750 N Cobb St Ste 130
Milledgeville, GA 31061-7168 - Phone
- (478) 452-1024
- Fax
- (478) 452-0447
- NPI assigned
- Sep 12, 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
- Alisha Overman
- Title
- Office Manager
- Phone
- (478) 452-1024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
750 N Cobb St Ste 130
Milledgeville, GA 31061-7168
Mailing address
PO Box 1473
Milledgeville, GA 31059-1473
Phone (478) 452-1024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GRP6491 | Other | GA | MEDICARE GROUP# |
Other names 1
- PIEDMONT REGIONAL SURGICAL ASSOCIATES, LLC
National Provider Directory
National Provider DirectoryLocations
750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024
750 N Cobb St
Ste 140
Milledgeville, GA 31061
Phone (478) 452-3768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Suffolk, VA
- NPI 1497860944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1881889871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1473",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310591473",
"telephone_number": "478-452-1024",
"fax_number": "478-452-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 N COBB ST STE 130",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310617168",
"telephone_number": "478-452-1024",
"fax_number": "478-452-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT REGIONAL SURGICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2011-05-18",
"status": "A",
"authorized_official_last_name": "OVERMAN",
"authorized_official_first_name": "ALISHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "478-452-1024"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP#",
"identifier": "GRP6491",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PIEDMONT REGIONAL SURGICAL ASSOCIATES, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.