Organization Active NPI

Rome Surgical Center, P.C.

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
National Provider Identifier
1902020522
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000618 Issued in GA
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

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Brian MiddletonNPI 1679550628
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 PCCCN 11C0001308
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.