Active NPI
Southwest Surgical Associates, P.C.
- Surgery Physician
- Jesup, GA
National Provider Identifier
1902152200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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
- Southeastern Pathology Associates at Wayne Memorial Inc
- Southern Family Medicine, LLC
- Southern Medical of Jesup LLC
- Southern Pharmacy Group LLC
- Southwest Surgical Associates, P.C.
- Southwest Surgical Associates, PC
- Robson S Spinola, D.P.M.
- Jodi Cheree Spires, LPC
- Sports Medicine and Rehabilitative Therapy
- Stanley D. Jones, M.D.P.C.
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.