UROLOGICAL SURGICAL CENTER LLC NPI 1134497910

NPI Information

  • NPI: 1134497910
  • Provider Name: UROLOGICAL SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D1092050
  • Address: 102 HICKORY ST
    WARNER ROBINS, GA
    ZIP 31093
  • Phone: (478) 333-6961

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NPI Details

UROLOGICAL SURGICAL CENTER LLC is an ambulatory surgical clinic center in Warner Robins, GA. UROLOGICAL SURGICAL CENTER LLC NPI is 1134497910. The provider is registered as an organization entity type.

The provider's business location address is:

102 HICKORY ST
WARNER ROBINS, GA
ZIP 31093-047
Phone: (478) 333-6961

The provider's authorized official is Melvin Lee Christopher Fussell .
The authorized official title is Owner/board Certified Urologist and has the following contact phone number (478) 333-6961.

The CLIA number assigned to this NPI record is 11D1092050 - physician office 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.

  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/7/2011.

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 Surgical052565GEORGIAYes

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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