Organization Active NPI

Amed Surgical Associates

  • Surgical Physician Assistant
  • Macon, GA
National Provider Identifier
1972005155
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
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, CSANPI 1609052075
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 Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.