MERIDIAN SURGICAL, PC (NPI# 1134168883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168883 |
| Entity Type | Organization |
| Organization Name | MERIDIAN SURGICAL, PC |
| Practice Address |
684 Sixes Rd Suite 225 Holly Springs GA 30115-8721 |
| Practice Telephone | 7707046101 |
| Practice Fax Number | 7707046316 |
| Mailing Telephone | 7707046101 |
| Mailing Fax Number | 7707046316 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | DR. ANUJ KUMAR DUA (PHYSICIAN) |
| Authorized Official Telephone | 7707046101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 053856 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 594877089B | 05 |
| Street Address |
684 SIXES RD SUITE 225 |
| City | HOLLY SPRINGS |
| State | GA |
| Zip Code | 30115-8721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021070 | Michael W Shotwell | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-02-13 |
| 1831476316 | Olde Time Pharmacy At Sixes, LLC | Clinic/Center | 684 Sixes Rd, Suite 105, Holly Springs, GA 30115-8721 | 2011-11-10 |
| 1255652632 | Jimmy J Jiang | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2010-06-19 |
| 1811216153 | Kasier Permanente | Clinical Medical Laboratory | 684 Sixes Rd, Suite 275, Holly Springs, GA 30115-8721 | 2010-05-26 |
| 1952620429 | Matthew T Simmons | Family Medicine | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115 | 2010-05-24 |
| 1912174889 | Stephen Allen Rodes | Orthopaedic Surgery | 684 Sixes Rd, Suite 130, Holly Springs, GA 30115-8721 | 2008-05-10 |
| 1649456609 | Jamie Hayes Rollins | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2008-01-21 |
| 1902012206 | Jason Robert Hefner | Internal Medicine | 684 Sixes Rd, Suite 125, Holly Springs, GA 30115-8721 | 2007-05-15 |
| 1104866334 | Anuj Kumar Dua | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-07 |
| 1205875010 | Nancy R Doelling | Pediatrics | 684 Sixes Rd, Ste 220, Holly Springs, GA 30115-8721 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467561233 | Brooks V Monaghan Jr. | Surgery | 226 Bethlehem St, Holly Springs, MS 38635 | 2006-08-29 |
| 1427021070 | Michael W Shotwell | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-02-13 |
| 1477841393 | Karen Buhariwalla | Surgery | 684 Sixes Rd Ste 220, Holly Springs, GA 30115-8722 | 2011-07-12 |
| 1104866334 | Anuj Kumar Dua | Surgery | 684 Sixes Rd, Suite 225, Holly Springs, GA 30115-8721 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | HOLLY SPRINGS |
| Zip Code | 30115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.