PAVILION SURGICAL ASSOCIATES, LLC (NPI# 1962713537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962713537 |
| Entity Type | Organization |
| Organization Name | PAVILION SURGICAL ASSOCIATES, LLC |
| Other Organization Name | NEWTON HEALTH SYSTEM INC |
| Practice Address |
4181 Hospital Dr Ne Suite 303 Covington GA 30014-2541 |
| Practice Telephone | 7707876957 |
| Practice Fax Number | 7707840381 |
| Mailing Telephone | 7707876957 |
| Mailing Fax Number | 7707840381 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | MS. RENEE TAYLOR (PRACTICE MANAGER) |
| Authorized Official Telephone | 7707876957 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWTON HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Newton Health System Inc | Former Legal Business Name - Organization |
| Street Address |
4181 HOSPITAL DR NE SUITE 303 |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694388 | Steven R Whitworth | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2005-07-26 |
| 1700394889 | Rhonda Ann Cook | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-3001 | 2018-01-11 |
| 1902353170 | Ashley Nichole Spears | Specialist/Technologist, Other | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2016-09-06 |
| 1124494588 | Hannah Addis | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2015-08-19 |
| 1396152302 | Lana Earley | Specialist/Technologist | 4181 Hospital Dr Ne, Suite 204, Covington, GA 30014-2541 | 2014-07-22 |
| 1588922306 | Georgia Orthopedics and Sports Medicine,llc | Orthopaedic Surgery | 4181 Hospital Dr Ne, Covington, GA 30014-2541 | 2012-04-30 |
| 1467727263 | Julie Buff Walter | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2012-03-13 |
| 1225329147 | Michelle Denise White | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite104, Covington, GA 30014-2541 | 2011-04-26 |
| 1770873929 | Sherley C Samuels | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2011-04-08 |
| 1043481682 | Newton Health System, Inc. | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2008-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| 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 |
|---|---|---|---|---|
| 1578087516 | Dorothy Lewis Md, LLC | Surgery | 52 Oaklawn Dr, Covington, LA 70433-4518 | 2017-08-01 |
| 1770834145 | Real Results Clinic LLC | Surgery | 606 W. 11th Ave., Suite B, Covington, LA 70433 | 2012-09-26 |
| 1063781326 | Susan Irving | Surgery | 15 Whispering Pine Dr, Covington, GA 30016-4294 | 2011-12-15 |
| 1275587883 | Karl Crawford Jonas Jr. | Surgery | 1995 Highway 51 South, Suite 204, Covington, TN 38019-3655 | 2006-05-19 |
| 1871564252 | Erica Y Scott | Surgery | 4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541 | 2006-02-01 |
| 1053312223 | John H Verhulst | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| 1881694388 | Steven R Whitworth | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2005-07-26 |
| 1154973360 | Lakeshore Surgical Associates of La | Surgery | 110 Lakeview Dr Ste 200, Covington, LA 70433-7511 | 2019-07-09 |
| 1487000899 | James W. Christopher, Md, LLC | Surgery | 7015 Highway 190 East Service Rd, Ste. 102, Covington, LA 70433-4960 | 2016-05-05 |
| 1932433711 | Marilyn Evelyn Pelias | Surgery | 101 Judge Tanner Blvd., Suite 402, Covington, LA 70433 | 2009-09-25 |
| Find all providers in COVINGTON | ||||
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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.