NPIMap

Organization Active NPI

Rome Orthopaedic Clinic ASC, Inc.

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
National Provider Identifier
1952540825
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
057-410 Issued in GA
Legal business name
ROME ORTHOPAEDIC CLINIC ASC, INC.
Practice address
100 Three Rivers Dr NE
Rome, GA 30161-4999
Phone
(706) 292-0040
Fax
(706) 378-0556
NPI assigned
Feb 17, 2009
Last updated
Sep 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Authorized official

Name
Dr. Scott G Bowerman, M.D.NPI 1124036876
Title
President
Phone
(706) 292-0040

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
Ambulatory Surgical Clinic/Center 261QA1903X 057-410 GA Primary

Addresses

Primary practice location

100 Three Rivers Dr NE
Rome, GA 30161-4999

Mailing address

100 Three Rivers Dr NE
Rome, GA 30161-4999
Phone (706) 292-0040

Other identifiers 1

IdentifierTypeStateIssuer
801488384AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000364 GA Part B Supplier - Ambulatory Surgical Center 3375680101 Practice locations: Rome, GA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Rome Orthopaedic Clinic ASC IncCCN 11C0001399
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1952540825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-292-0040",
            "fax_number": "706-378-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THREE RIVERS DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614999",
            "telephone_number": "706-292-0040",
            "fax_number": "706-378-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME ORTHOPAEDIC CLINIC ASC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-292-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "057-410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801488384A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.