WESTSIDE SURGERY CENTER LLC NPI 1013158948

NPI Information

  • NPI: 1013158948
  • Provider Name: WESTSIDE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D1097239
  • Address: 314 WESTSIDE DRIVE
    DOUGLAS, GA
    ZIP 31533
  • Phone: (912) 384-2200

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NPI Details

WESTSIDE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Douglas, GA. WESTSIDE SURGERY CENTER, LLC NPI is 1013158948. The provider is registered as an organization entity type.

The provider's business location address is:

314 WESTSIDE DRIVE
DOUGLAS, GA
ZIP 31533-314
Phone: (912) 384-2200
Fax: (912) 383-7992

The provider's authorized official is Amber Patterson .
The authorized official title is Administrator and has the following contact phone number (912) 384-2200.

The CLIA number assigned to this NPI record is 11D1097239 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose (HCPCS:69706)

The enumeration date for this NPI number is 3/24/2009 and was last updated on 7/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1794275173AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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