North Oak Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

092-374 Issued in GA

Legal business name

NORTH OAK AMBULATORY SURGERY CENTER, LLC

Practice address

2718 N Oak St
Valdosta, GA 31602-1781

Phone

(229) 242-3668

Fax

(229) 253-8666

NPI assigned

Nov 29, 2007

Last updated

Nov 27, 2012By 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. Avis S Griffin

Title

Office Manager

Phone

(229) 242-3668

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

North Oak Ambulatory Surgery Center LLCCCN 11C0001035

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Timothy E Pitts, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valdosta, GA
  • NPI 1952361024
  NPD

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1922280197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-3668",
            "fax_number": "229-253-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 N OAK ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021781",
            "telephone_number": "229-242-3668",
            "fax_number": "229-253-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAK AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-242-3668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "092-374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127038A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Repko Norris, DPT
• Peggy Ann Norris, RD
• Stephany Ann Norris, LPC
• Stephen Allen Norris, MDIV, MS, LMFT
• Wade Benjamin Norris III
• North Oak Family Medicine LLC
• North Oak Family Medicine LLC
• North Valdosta Therapy Services Inc
• Ashleigh Meghann North
• Allison Anne Nowak, OTR/L

• Ambulatory Surgical Clinic/Center in Valdosta, GA
• Providers in Valdosta, 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 Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.