SURGERY CENTER OF ROME LP NPI 1275597056

NPI Information

NPI: 1275597056
Provider Name: SURGERY CENTER OF ROME, LP
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D0974720

Address:
16 JOHN MADDOX DR NW
ROME, GA
ZIP 30165
Phone: (706) 802-3727
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SURGERY CENTER OF ROME, LP is an ambulatory surgical clinic center in Rome, GA. SURGERY CENTER OF ROME, LP NPI is 1275597056. The provider is registered as an organization entity type.

The provider's business location address is:

16 JOHN MADDOX DR NW
ROME, GA
ZIP 30165-414
Phone: (706) 802-3727
Fax: (706) 802-3883

The provider's authorized official is Alan Guyton .
The authorized official title is Cfo and has the following contact phone number (706) 879-4710.

The CLIA number assigned to this NPI record is 11D0974720 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 10/4/2021.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	057282	GEORGIA	Yes

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
1	000372765A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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