SOUTH GEORGIA ENDOSCOPY CENTER, INC (NPI# 1841304797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304797 |
| Entity Type | Organization |
| Organization Name | SOUTH GEORGIA ENDOSCOPY CENTER, INC |
| Practice Address |
1501 Alice St Waycross GA 31501-4530 |
| Practice Telephone | 9122850877 |
| Practice Fax Number | 9122870387 |
| Mailing Telephone | 9122850877 |
| Mailing Fax Number | 9122870387 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2013-01-02 |
| Authorized Official Name | SOHAIL A CHOUDHRI (OWNER) |
| Authorized Official Telephone | 9122850877 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
148228 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00539459C | 05 |
| Street Address |
1501 ALICE ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760966378 | Dallas Boyett | Nurse Practitioner | 1501 Alice St, Waycross, GA 31501-4530 | 2018-09-19 |
| 1659629772 | Lindsey Rene Tatum | Nurse Practitioner | 1501 Alice St, Waycross, GA 31501-4530 | 2012-08-21 |
| 1285866350 | Lorie Ann Lindsay | Registered Nurse | 1501 Alice St, Waycross, GA 31501-4530 | 2009-08-21 |
| 1407960289 | Sohail A Choudhri | Internal Medicine | 1501 Alice St, Waycross, GA 31501-4530 | 2006-08-18 |
| 1821102617 | Craig M Kubik | Internal Medicine | 1501 Alice St, Waycross, GA 31501-4530 | 2006-08-18 |
| 1619081429 | Digestive Disease Consultants, P.C. | Internal Medicine | 1501 Alice St, Waycross, GA 31501-4530 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821397654 | Renue Surgery Center of Waycross, LLC | Clinic/Center | 1905 Tebeau St, Waycross, GA 31501-6356 | 2011-03-18 |
| 1588755920 | South Georgia Surgery Center | Clinic/Center | 306 Isabella St, Waycross, GA 31501-3636 | 2006-09-28 |
| 1952412413 | South Georgia Surgery Center, LLC | Clinic/Center | 306 Isabella Street, Waycross, GA 31501-3636 | 2006-08-31 |
| 1114454634 | Coastal Pain Center, LLC | Clinic/Center | 306 Isabella St, Waycross, GA 31501-3636 | 2017-05-15 |
| 1720023237 | Institute for Corrective Surgery of The Foot & Ankle, Inc. | Clinic/Center | 2003 Alice St, Waycross, GA 31501-6209 | 2006-06-18 |
| 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 | ||||
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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.