Organization Active NPI

Southwest Surgical Associates, P.C.

  • Surgery Physician
  • Jesup, GA
National Provider Identifier
1902152200
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SOUTHWEST SURGICAL ASSOCIATES, P.C.
Practice address
113 Colonial Way
Jesup, GA 31545-0122
Phone
(912) 427-7350
Fax
(912) 427-7315
NPI assigned
Jul 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Reginald A Williams, MD
Title
Owner
Phone
(912) 427-7350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

113 Colonial Way
Jesup, GA 31545-0122

Mailing address

113 Colonial Way
Jesup, GA 31545-0122
Phone (912) 427-7350

National Provider Directory

National Provider Directory

Locations

113 Colonial Way
Jesup, GA 31545
Phone (912) 427-6915

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1902152200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COLONIAL WAY",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450122",
            "telephone_number": "912-427-7350",
            "fax_number": "912-427-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COLONIAL WAY",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450122",
            "telephone_number": "912-427-7350",
            "fax_number": "912-427-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SURGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-427-7350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.