Patrick a Conarro MD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

093-183 Issued in GA

Legal business name

PATRICK A CONARRO MD

Practice address

64 Mountain Dr
Dahlonega, GA 30533-1601

Phone

(706) 864-6196

Fax

(706) 867-0729

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patrick A. Conarro, M.D.NPI 1295829968

Title

Owner

Phone

(706) 864-6196

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• d.b.a. Summit Surgical ASC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Patrick a. Conarro, M.D.

  • Specialist
  • Dahlonega, GA
  • NPI 1982800447

  O20041202000247

  Same enrollment

Listed as

Summit Surgical ASC LLCCCN 11C0001162

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Summit Surgical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Patrick a. Conarro, M.D.

  • Specialist
  • Dahlonega, GA
  • NPI 1982800447
  NPD tax ID

Locations

Practitioners 1

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

• Patrick A Conarro, M.D.

  • Surgery Physician
  • Dahlonega, GA
  • NPI 1295829968
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1932268299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331601",
            "telephone_number": "706-864-6196",
            "fax_number": "706-867-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MOUNTAIN DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331601",
            "telephone_number": "706-864-6196",
            "fax_number": "706-867-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK A CONARRO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "CONARRO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-864-6196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "093-183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00430834A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS I.D. FOR ASC",
            "identifier": "51004953002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d.b.a. Summit Surgical ASC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "d.b.a. Summit Surgical ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stefanie Dean Dismer Palma, PT, DPT
• Phillip Burl Palmer, P.T.
• Micaela Pamplin, PHARMD
• Brian Andrew Parker, NP
• Pathology Consultants of Georgia
• Patrick a. Conarro, M.D.
• Margaret Payne, RNCS, MN, PNP
• Teresa Anne Payne, FNP
• Katherine Ann Peake, RN
• Pediatric Thera Pea Services of Georgia, LLC

• Ambulatory Surgical Clinic/Center in Dahlonega, GA
• Providers in Dahlonega, 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 Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.