Active NPI
Rome Surgical Center, P.C.
- Ambulatory Surgical Clinic/Center
- Rome, GA
National Provider Identifier
1902020522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 000618
- Legal business name
- ROME SURGICAL CENTER, P.C.
- Practice address
- 211 Redmond Rd NW
Rome, GA 30165-1537 - Phone
- (706) 802-1800
- Fax
- (706) 802-0781
- NPI assigned
- Apr 13, 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
- Dr. Brian Middleton
- Title
- D.P.M.
- Phone
- (706) 802-1800
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 000618 | GA | Primary |
Addresses
Primary practice location
211 Redmond Rd NW
Rome, GA 30165-1537
Mailing address
PO Box 2400
Rome, GA 30164-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080102000454 | GA | Part B Supplier - Ambulatory Surgical Center | 5698855732 | Practice locations: Rome, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Rome Surgical Center PC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
211 Redmond Rd NW
Rome, GA 30165
Phone (706) 802-1800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Rome, GA
- NPI 1679550628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1902020522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "ROME",
"state": "GA",
"postal_code": "301642400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651537",
"telephone_number": "706-802-1800",
"fax_number": "706-802-0781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROME SURGICAL CENTER, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "MIDDLETON",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "D.P.M.",
"authorized_official_telephone_number": "706-802-1800",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "000618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.