Athens Surgical Group PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

019390 Issued in GA

Legal business name

ATHENS SURGICAL GROUP PC

Practice address

740 Prince Ave BLDG 8a
Athens, GA 30606-5903

Phone

(706) 353-1630

Fax

(706) 543-6825

NPI assigned

Jun 27, 2007

Last updated

Mar 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Nix

Title

Office Manager

Phone

(706) 353-1630

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas H Hawk Jr., M.D.

  • Surgery Physician
  • Athens, GA
  • NPI 1043363716
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1912104712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE BLDG 8A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "706-353-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCE AVE BLDG 8A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065903",
            "telephone_number": "706-353-1630",
            "fax_number": "706-543-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-353-1630"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "019390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP4622",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Spine Center PC
• Athens Spine Procedural Center LLC
• Athens Spine Wellness Center LLC
• Athens Strength and Physical Therapy, LLC
• Athens Surgery Center LLC
• Athens Therapy Co-Op
• Athens Thoracic & Vascular Surgery, PC
• Athens Urological Associates, LLC
• Athens Vein Clinic, PC
• Athens Wellness Diagnostics (American Wellness Diagnostics)

• Surgery Physician in Athens, GA
• Providers in Athens, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.