HILLCREST SURGERY CENTER, LLC (NPI# 1578808069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578808069 |
| Entity Type | Organization |
| Organization Name | HILLCREST SURGERY CENTER, LLC |
| Practice Address |
1110 Hillcrest Pkwy Dublin GA 31021-3687 |
| Mailing Address |
Po Box 16100 Dublin GA 31040-6100 |
| Practice Telephone | 4782962800 |
| Practice Fax Number | 4782962801 |
| Mailing Telephone | 4783041268 |
| Mailing Fax Number | 8008868895 |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |
| Authorized Official Name | DR. JOHN WILLIAM SOUZA (MEMBER) |
| Authorized Official Telephone | 4782962800 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
1110 HILLCREST PKWY |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-3687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548209901 | Phyllis Amanda Chafin | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2006-06-04 |
| 1396288700 | Top Gun Medical Solutions, LLC | Specialist | 1110 Hillcrest Pkwy, Suite C, Dublin, GA 31021-3687 | 2016-12-02 |
| 1780134411 | Fasttrack Ic Ancillary LLC | Specialist | 1110 Hillcrest Pkwy, Unit #c, Dublin, GA 31021-3687 | 2016-10-05 |
| 1801292776 | Fasttrack Immediate Care of Dublin, LLC | General Practice | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2014-11-05 |
| 1205265683 | Lanie Welch | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2013-11-05 |
| 1558525931 | Souza Family Health & Urgent Care Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2008-07-15 |
| 1225070261 | Anthony Yawn | Nurse Practitioner | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306374301 | Tri Valley Surgery Center | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-06-02 |
| 1023149242 | Dublin Orthopaedics Asc, Inc. | Clinic/Center | 2627 Moore Station Road, Dublin, GA 31021 | 2007-03-08 |
| 1093710873 | Dublin Surgical Center, LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2005-06-17 |
| 1275040800 | Bradenton Surgery Center LLC | Clinic/Center | 4930 Bradenton Ave, Dublin, OH 43017 | 2018-01-04 |
| 1679092209 | Tir Valley Plastic Surgery Center, LLC | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-09-14 |
| 1710201538 | Dublin Surgery Center LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2010-03-23 |
| 1295911154 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 6670 Perimeter Dr, Suite 200, Dublin, OH 43016-8056 | 2008-01-10 |
| 1902095417 | Perimeter Surgical Center Inc | Clinic/Center | 6620 Perimeter Dr, Suite 100b, Dublin, OH 43016-8055 | 2007-10-21 |
| 1063609238 | Associates In Central Ohio Obstetrics & Gynecology, Inc | Clinic/Center | 7235 Sawmill Rd, Suite 200, Dublin, OH 43016-5003 | 2007-10-01 |
| 1841368867 | Dublin Eye Surgery Center LLC | Clinic/Center | 2400 Bellevue Rd, 17 Erin Office Park, Dublin, GA 31021-2885 | 2006-11-30 |
| Find all providers in DUBLIN | ||||
Please comment or provide details below to improve the information on HILLCREST SURGERY CENTER, LLC.
| 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.