STATESBORO AMBULATORY SURGERY CENTER, INC (NPI# 1356619613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356619613 |
| Entity Type | Organization |
| Organization Name | STATESBORO AMBULATORY SURGERY CENTER, INC |
| Practice Address |
95 Bel Air Drive Statesboro GA 30461 |
| Mailing Address |
95 Bel Air Dr Statesboro GA 30461-6879 |
| Practice Telephone | 9124896519 |
| Practice Fax Number | 9127647882 |
| Mailing Telephone | 9124896519 |
| Mailing Fax Number | 9127647882 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DR. ROBERT W CUSHNER (CEO/OWNER) |
| Authorized Official Telephone | 9124898727 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PROVIDER TRANSACTION ACCESS NUMBER | GRP4317 | 01 | |
| GA | 000624896A | 05 |
| Street Address |
95 BEL AIR DRIVE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1134485956 | Altrus, Inc. | Assisted Living Facility | 115 Dodd Cir, Statesboro, GA 30461-0628 | 2012-04-05 |
| 1306102124 | Altrus, Inc. | Assisted Living Facility | 115 Dodd Cir, Statesboro, GA 30461-0628 | 2012-04-05 |
| 1831389949 | Laircey Eye Services PC | Optometrist | 820 Hwy 80 E, Statesboro, GA 30461-0800 | 2007-07-26 |
| Find all providers in zip 30461 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740237213 | Bulloch County Endoscopy Center, LLC | Clinic/Center | 1555 Brampton Ave, Statesboro, GA 30458-0856 | 2006-05-28 |
| 1700152113 | Statesboro Ambulatory Surgery Center Inc | Clinic/Center | 95 Bel Air Dr, Statesboro, GA 30461-6879 | 2012-03-29 |
| 1831301050 | The Women's Surgery Center, LLC | Clinic/Center | 1523 Fair Rd, Statesboro, GA 30458-6025 | 2007-05-03 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| 1659327294 | Statesboro Ent Surgical Center | Clinic/Center | 106 Proctor St, Statesboro, GA 30458-1351 | 2006-05-25 |
| 1427020007 | Outpatient Orthopedic Surgery Center, LLC | Clinic/Center | 1601 Fair Rd, Suite 500, Statesboro, GA 30458-1698 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30461 |
Please comment or provide details below to improve the information on STATESBORO AMBULATORY SURGERY CENTER, INC.
| 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.