SANDERSVILLE SURGICAL (NPI# 1679626568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679626568 |
| Entity Type | Organization |
| Organization Name | SANDERSVILLE SURGICAL |
| Other Organization Name | RAWL SOUTHERN SURGICAL LLC |
| Practice Address |
501 Sparta Rd Ste C Sandersville GA 31082-1314 |
| Practice Telephone | 4785530232 |
| Practice Fax Number | 4785531280 |
| Mailing Telephone | 4785530232 |
| Mailing Fax Number | 4785531280 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DOUGLAS K RAWL (MD) |
| Authorized Official Telephone | 4785530232 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 054030 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAW001 | SECURE | 01 |
| GA | 360483 | WELLCARE | 01 |
| Other Name | Type Code |
|---|---|
| RAWL SOUTHERN SURGICAL LLC | Doing Business As Name - Organization |
| Street Address |
501 SPARTA RD STE C |
| City | SANDERSVILLE |
| State | GA |
| Zip Code | 31082-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033613724 | Keith B Thompson | Driver | 417 W Haynes St, Sandersville, GA 31082 | 2018-03-19 |
| 1922451079 | Thomas A Curry | Pharmacist | 514 Washington Avenue, Sandersville, GA 31082 | 2016-07-13 |
| 1770952574 | Cynthia J. Roche | Physical Therapist | 618 Ferncrest Drive, Sandersville, GA 31082 | 2015-09-22 |
| 1376948109 | Solomon Agyeman | Physical Therapist | 610 Sparta Wood, Sandersville, GA 31082 | 2014-10-22 |
| 1649472036 | John R. Clements | Dentist | 106 W 2nd Ave, Sandersville, GA 31082 | 2007-06-05 |
| 1821214271 | John W Dickey | Dentist | 201 Medical Arts Drive, Sandersville, GA 31082 | 2007-04-17 |
| 1346340320 | Mark R Harvey Md PC | Internal Medicine | 203 Medical Arts Pl, Suite 3, Sandersville, GA 31082 | 2006-09-22 |
| 1932202694 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 206 S Harris St, Sandersville, GA 31082 | 2006-09-07 |
| 1053421172 | Mark R Harvey | Internal Medicine | 203 Medical Arts Place, Suite 3, Sandersville, GA 31082 | 2006-08-30 |
| 1093757239 | Parrin Tareyl Barton | Family Medicine | 610 Ferncrest Drive, Sandersville, GA 31082 | 2006-06-12 |
| Find all providers in zip 31082 | ||||
| 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 |
|---|---|---|---|---|
| 1578621942 | Guillermo Quispe | Surgery | 3100 Ga Highway 24 E, Sandersville, GA 31082-4568 | 2006-12-05 |
| 1992786818 | Robert David Gatliff | Surgery | 610 Sparta Rd Ste C, Sandersville, GA 31082-1860 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1568087260 | Anthony George Campbell | Surgery | 1475 Laney Walker Blvd, Augusta, GA 30912-0002 | 2020-06-09 |
| 1821613431 | America Stephanie Revere | Surgery | Augusta University Medical Center 1120 15th St, Augusta, GA 30912-0001 | 2020-06-09 |
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1063054237 | Stacey M Lowe | Surgery | 146 Wesleyan Way, Macon, GA 31210-4400 | 2019-10-09 |
| 1356982730 | Quinones & Sanchez LLC | Surgery | 1215 Eagles Landing Pkwy Ste 105, Stockbridge, GA 30281-5084 | 2019-10-07 |
| 1891342135 | Chakita Miesha Allen | Surgery | 24 Halyard Dr, Port Wentworth, GA 31407-9755 | 2019-08-21 |
| 1720631088 | 5am P.C. | Surgery | 475 Hansell St Se, Cairo, GA 39828-3071 | 2019-07-16 |
| 1033779152 | Kathryne Holmes | Surgery | 1120 15th St Rm Bi4076, Augusta, GA 30912-0004 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | SANDERSVILLE |
| Zip Code | 31082 |
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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.