Organization Active NPI

Piedmont Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Macon, GA
National Provider Identifier
1962531988
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
011-057 Issued in GA
Legal business name
PIEDMONT SURGERY CENTER
Practice address
4660 Riverside Park Blvd
Macon, GA 31210-1395
Phone
(478) 471-6300
Fax
(478) 471-6240
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mikell Peed
Title
Ceo
Phone
(478) 471-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 011-057 GA Primary

Addresses

Primary practice location

4660 Riverside Park Blvd
Macon, GA 31210-1395

Mailing address

PO Box 18065
Macon, GA 31209-8065
Phone (478) 471-6300

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Piedmont Surgery CenterCCN 11C0001038
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962531988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18065",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312098065",
            "telephone_number": "478-471-6300",
            "fax_number": "478-471-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101395",
            "telephone_number": "478-471-6300",
            "fax_number": "478-471-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEED",
        "authorized_official_first_name": "MIKELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-471-6300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "011-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.