Organization Active NPI

Summit Surgical Partners, LLC

  • Surgery Physician
  • Woodstock, GA
National Provider Identifier
1912636176
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SUMMIT SURGICAL PARTNERS, LLC
Practice address
403 Woodchase Way
Woodstock, GA 30188-2052
Phone
(678) 951-6270
Fax
(678) 623-5943
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Prof. Daniel Duncan Baird, CSA, M.SC., MBANPI 1013999119
Title
Chief Executive Officer
Phone
(678) 951-6270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

403 Woodchase Way
Woodstock, GA 30188-2052

Mailing address

403 Woodchase Way
Woodstock, GA 30188-2052
Phone (678) 951-6270

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1912636176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-951-6270",
            "fax_number": "678-623-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-951-6270",
            "fax_number": "678-623-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SURGICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "BAIRD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DUNCAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-951-6270",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "CSA, M.SC., MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.