Lakeview Surgery Center, LLC

Key facts

NPI: 1972803898
Entity type: Organization (NPI type 2)
Primary specialty: Ambulatory Surgical Clinic/Center 261QA1903X
License: 076-442 (GA)
Legal business name: LAKEVIEW SURGERY CENTER, LLC
Practice address: 100 Jim Mason CT
Suite B
Warner Robins, GA 31088-8965
Phone: (478) 971-4001
Fax: (478) 971-4004
NPI assigned: Oct 26, 2010
Organization subpart: No

Authorized official

Name: Chandresh Viradia, MD NPI 1538117015
Title: Ceo
Phone: (478) 971-4001

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Chandresh Vithal Viradia, M.D. Interventional Pain Medicine Physician · Warner Robins, GA · NPI 1538117015

NPD Authorized official
Bryan Peter Covert, M.D. Pain Medicine (Anesthesiology) Physician · Warner Robins, GA · NPI 1023304961

NPD (past)

Medicare Care Compare: Ambulatory surgical center

Listed as: Lakeview Surgery Center LLC CCN 11C0001365
Medicare certification status: Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
11D2017907	Lakeview Surgery Center 100 Jim Mason Court, Suite B, Warner Robins, GA 31088	Certificate of waiver	Dec 20, 2026

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20110215000441	GA	Part B Supplier - Ambulatory Surgical Center	2466632062	Practice locations: Warner Robins, GA

National Provider Directory

Locations

100 Jim Mason Ct
Ste A
Warner Robins, GA 31088
Phone (478) 474-2947

100 Jim Mason Ct
Ste B
Warner Robins, GA 31088
Phone (478) 971-4001

100 Jim Mason Ct
#B
Warner Robins, GA 31088
Phone (478) 971-4001

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulatory Surgical Clinic/Center	261QA1903X	076-442	GA	Yes

Addresses

Primary practice location

100 Jim Mason CT
Suite B
Warner Robins, GA 31088-8965

Mailing address

100 Jim Mason CT
Suite B
Warner Robins, GA 31088-8965
Phone (478) 971-4001

Other providers in Warner Robins, GA

All providers in Warner Robins, GA · Ambulatory Surgical Clinic/Center in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.