Active NPI
Amed Surgical Associates
- Surgical Physician Assistant
- Macon, GA
National Provider Identifier
1972005155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- AMED SURGICAL ASSOCIATES
- Practice address
- 2844 Barrett Ave
Macon, GA 31206-4834 - Phone
- (404) 449-1901
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Erica Diouf, CSA
- Title
- Ceo
- Phone
- (404) 615-5551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2844 Barrett Ave
Macon, GA 31206-4834
Mailing address
2844 Barrett Ave
Macon, GA 31206-4834
Phone (404) 615-5551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2022.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649203200000",
"number": "1972005155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2844 BARRETT AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312064834",
"telephone_number": "404-615-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 BARRETT AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312064834",
"telephone_number": "404-449-1901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMED SURGICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2022-04-06",
"certification_date": "2022-04-05",
"status": "A",
"authorized_official_last_name": "DIOUF",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-615-5551",
"authorized_official_credential": "CSA"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.