Commerce Ambulatory Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COMMERCE AMBULATORY SURGERY CENTER, INC.

Practice address

417 Pottery Factory Dr
Commerce, GA 30529-6682

Phone

(706) 247-7640

Fax

(706) 223-6814

NPI assigned

May 15, 2019

Last updated

May 15, 2019By 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

Mrs. Heather Lackey, CMM

Title

Practice Manager

Phone

(706) 247-7640

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1912563941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-247-7640",
            "fax_number": "706-223-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 POTTERY FACTORY DR",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-247-7640",
            "fax_number": "706-223-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE AMBULATORY SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "706-247-7640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@commerceasc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "417 Pottery Factory Dr",
            "city": "Commerce",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305296682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Commerce Adult Medicine and Pediatrics
• Commerce City Schools
• Commerce Family Eyecare
• Commerce Hearing Aid Outlet
• Commerce Orthodontics LLC
• Commerce Physicians Group LLC

• Ambulatory Surgical Clinic/Center in Commerce, GA
• Providers in Commerce, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.