SOUTH REGIONAL SURGICAL SERVICES


Address: 145 Forest Hall Ln, Fayetteville, GA 30214-4025
Phone: 6786628792

SOUTH REGIONAL SURGICAL SERVICES (NPI# 1679090815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679090815
Entity Type Organization
Organization Name SOUTH REGIONAL SURGICAL SERVICES
Practice Address 145 Forest Hall Ln
Fayetteville
GA 30214-4025
Practice Telephone 6786628792
Enumeration Date 2017-08-28
Last Update Date 2017-08-28
Authorized Official Name ANTHONY ROBINSON (PRESIDENT)
Authorized Official Telephone 6786628792
Authorized Official Credential CSA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization Managed Care Organizations

Office Location

Street Address 145 FOREST HALL LN
City FAYETTEVILLE
State GA
Zip Code 30214-4025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871692517 Anthony J Robinson Specialist/Technologist, Other 145 Forest Hall Ln, Fayetteville, GA 30214-4025 2006-09-21
1770859563 Vanessa King Contractor 145 Forest Hall Ln, Fayetteville, GA 30214-4025 2012-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861930802 Rico's Daycare Exclusive Provider Organization 809 Berwick Dr, Fayetteville, NC 28314-0837 2017-02-10
1215341649 New Beginning of Nc, LLC Exclusive Provider Organization 100 Westlake Rd Ste 100, Fayetteville, NC 28314-1660 2014-06-13
1992127518 The Bliss Center, Paracletos Institute International Exclusive Provider Organization 109 N 85 Pkwy, Suite B, Fayetteville, GA 30214-4003 2014-01-16
1619280914 Ronald S D'amico Dpm Exclusive Provider Organization 7000 E Genesee St # D, Fayetteville, NY 13066-1131 2010-07-15
1023204393 Alternative Life Solutions Inc. Exclusive Provider Organization 854 Durwood Dr, Fayetteville, NC 28311-1854 2007-09-20
1356614556 Brian W Buell Eye Care Pa Exclusive Provider Organization 4083 N Shiloh Dr, Suite One, Fayetteville, AR 72703-5300 2012-02-17
1831333723 United Day Support Services Exclusive Provider Organization 535 Bunce Road, Fayetteville, NC 28314-2903 2009-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1851830806 Martinez Orthodontics, PC Exclusive Provider Organization 4469 Columbia Rd Ste B, Martinez, GA 30907-4573 2017-02-22
1467900191 The 831 Company Exclusive Provider Organization 788 Hightower Rd, Macon, GA 31206-2240 2016-09-11
1992151567 Cindys Childrens Charitable & Elderly Care Foundation Inc. Exclusive Provider Organization 1249 Kasandra Dr Se, Marietta, GA 30067-7713 2016-05-12
1275925711 Briah Fashions LLC Exclusive Provider Organization 1215 Lionsgate Dr, Conyers, GA 30094-6106 2015-02-20
1992105258 My Matrix, Incorporated Exclusive Provider Organization 2640 Martin Luther King Jr Dr Sw, Atlanta, GA 30311-6101 2014-08-23
1356760318 Specialized Therapy Solutions, LLC Exclusive Provider Organization 1494 Hampton View Ct, Marietta, GA 30008-4094 2014-04-07
1558787085 Qura Woodbury Exclusive Provider Organization 464 Vinings Vintage Cir, Mableton, GA 30126-7207 2014-03-07
1285059006 Brandy Schultz Cares Exclusive Provider Organization 1960 Morning Ln Nw, Acworth, GA 30102-7912 2014-03-03
1740604883 Judin Lynch Exclusive Provider Organization 919 Koala Ct, Lawrenceville, GA 30043-7699 2014-02-10
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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