Pavilion Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PAVILION SURGICAL ASSOCIATES, LLC

Practice address

4181 Hospital Dr NE
Suite 303
Covington, GA 30014-2541

Phone

(770) 787-6957

Fax

(770) 784-0381

NPI assigned

Jun 29, 2010

Last updated

Jun 3, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

NEWTON HEALTH SYSTEM, INCAs reported in NPPES

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

Authorized official

Name

Ms. Renee Taylor

Title

Practice Manager

Phone

(770) 787-6957

Specialties & licenses 1

Addresses

Other names 1

• Newton Health System Inc Former legal business name

Part of

Newton General Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Newton Hospital, Inc.

  dba Newton Medical Center

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1962713537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE",
            "address_2": "SUITE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-787-6957",
            "fax_number": "770-784-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE",
            "address_2": "SUITE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-787-6957",
            "fax_number": "770-784-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWTON HEALTH SYSTEM, INC",
        "enumeration_date": "2010-06-29",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-787-6957",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Health System Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maulikkumar Patel, MD
• Melissa Patrick
• Patriots Medical Transport LLC
• Amanda Patterson
• Jacqueline Patterson
• Wendy Pazdur, ICADC
• Kisha Meshun Peace, AGNP-C
• Peaceful Purpose Hospice of East Georgia, LLC
• Peachtree Care Adult Center
• Peachtree Care Center of Covington

• Surgery Physician in Covington, GA
• Providers in Covington, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.