Organization Active NPI

Piedmont Regional Surgical

  • Surgery Physician
  • Milledgeville, GA
National Provider Identifier
1881889871
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on May 18, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GRP6491OtherGAMEDICARE GROUP#

Other names 1

  • PIEDMONT REGIONAL SURGICAL ASSOCIATES, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.