Organization Active NPI

Cranford, Powell and Morris Advanced Surgical Specialists, L.L.C.

  • Surgery Physician
  • Newnan, GA
National Provider Identifier
1992086862
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CRANFORD, POWELL AND MORRIS ADVANCED SURGICAL SPECIALISTS, L.L.C.
Practice address
775 Poplar Rd Ste 260
Newnan, GA 30265-8303
Phone
(770) 502-2150
Fax
(770) 502-2103
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Christina Allen
Title
Administrator
Phone
(678) 794-4715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

775 Poplar Rd Ste 260
Newnan, GA 30265-8303

Mailing address

775 Poplar Road
Suite 260
Newnan, GA 30265-8304
Phone (770) 502-2150

Other identifiers 1

IdentifierTypeStateIssuer
1134133002MedicaidGA

Other names 1

  • CPM Advanced Surgical Specialists, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1755 Highway 34 E
Ste 24
Newnan, GA 30265

775 Poplar Rd
Ste 350
Newnan, GA 30265
Phone (470) 419-4380

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1992086862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 POPLAR ROAD",
            "address_2": "SUITE 260",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658304",
            "telephone_number": "770-502-2150",
            "fax_number": "770-502-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 POPLAR RD STE 260",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302658303",
            "telephone_number": "770-502-2150",
            "fax_number": "770-502-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANFORD, POWELL AND MORRIS ADVANCED SURGICAL SPECIALISTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-794-4715"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134133002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CPM Advanced Surgical Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.