NPIMap

Organization Active NPI

C Four Surgical LLC

  • Ambulatory Surgical Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1891547352
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
C FOUR SURGICAL LLC
Practice address
11525 Park Woods Circle
Suite 100
Alpharetta, GA 30005
Phone
(770) 727-3845
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
John Philip Connors III, M.D.
Title
Ceo
Phone
(770) 727-3845

Specialties & licenses 1

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

Addresses

Primary practice location

11525 Park Woods Circle
Suite 100
Alpharetta, GA 30005

Mailing address

11525 Park Woods Circle
Suite 100
Alpharetta, GA 30005

National Provider Directory

National Provider Directory

Locations

11525 Park Woods Cir
Ste 100
Alpharetta, GA 30005
Phone (770) 727-3845

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1891547352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 PARK WOODS CIRCLE",
            "address_2": "SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 PARK WOODS CIRCLE",
            "address_2": "SUITE 100",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30005",
            "telephone_number": "770-727-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C FOUR SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-727-3845",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.