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
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

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.

Specialties & licenses 2

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

Addresses

Primary practice location

2844 Barrett Ave
Macon, GA 31206-4834

Mailing address

2844 Barrett Ave
Macon, GA 31206-4834
Phone (404) 615-5551

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.