Southcare Physicians Group Surgical Specialists, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHCARE PHYSICIANS GROUP SURGICAL SPECIALISTS, LLC

Practice address

1136 Cleveland Ave
Suite 303
East Point, GA 30344-3618

Phone

(404) 530-3041

Fax

(404) 530-3052

NPI assigned

Feb 6, 2008

Last updated

Jun 23, 2016By 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

Michael Kyle Burtnett

Title

SVP of Outpatient Services, Tenet

Phone

(469) 893-2153

Specialties & licenses 1

Addresses

Locations

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.

• George Barnes Jr., MD

  • Surgery Physician
  • Valencia, CA
  • NPI 1144293119
  NPD (past)

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1912185539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 303",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-530-3041",
            "fax_number": "404-530-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 303",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-530-3041",
            "fax_number": "404-530-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCARE PHYSICIANS GROUP SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURTNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
        "authorized_official_telephone_number": "469-893-2153"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Fulton Dermatology Associates,LLP
• South Fulton Medical Center Practice Plan, LLC (South Fulton Medical Center Practice Plan)
• South Fulton Primary Care, LLC
• South Fulton Regional Medical Center Pro Fee Billing, LLC
• South Mental Health
• Southern International Living, Inc
• Southside Associates OB/GYN, Inc
• Southside Medical Center, Inc.
• Southside Medical Center, Inc. (Southside Medical Center at Wellstar Atlanta Medical)
• Southwest Atlanta Dialysis Centers LLC (East Point Dialysis Center)

• Surgery Physician in East Point, GA
• Providers in East Point, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.