NORTHWEST PLAZA ASC LLC NPI 1528196888

NPI Information

  • NPI: 1528196888
  • Provider Name: NORTHWEST PLAZA ASC LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D1067660
  • Address: 2311 LAKE PARK DR
    SUITE 4
    ALBANY, GA
    ZIP 31707
  • Phone: (229) 435-0525

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NPI Details

NORTHWEST PLAZA ASC LLC is an ambulatory surgical clinic center in Albany, GA. NORTHWEST PLAZA ASC LLC NPI is 1528196888. The provider is registered as an organization entity type.

The provider's business location address is:

2311 LAKE PARK DR
SUITE 4
ALBANY, GA
ZIP 31707-183
Phone: (229) 435-0525
Fax: (229) 434-9827

The provider's authorized official is Natalie D. Dixon .
The authorized official title is Chief Operating Officer and has the following contact phone number (229) 435-0525.

The CLIA number assigned to this NPI record is 11D1067660 - 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.

  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)

The enumeration date for this NPI number is 3/1/2007 and was last updated on 2/28/2017.

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 Surgical35890GEORGIAYes

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
120BBFKNMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
2F41795MEDICARE UPINGEORGIA

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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