ATHENS SURGICAL GROUP PC (NPI# 1912104712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912104712 |
| Entity Type | Organization |
| Organization Name | ATHENS SURGICAL GROUP PC |
| Practice Address |
740 Prince Ave Bldg 8a Athens GA 30606-5903 |
| Practice Telephone | 7063531630 |
| Practice Fax Number | 7065436825 |
| Mailing Telephone | 7063531630 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | AMANDA NIX (OFFICE MANAGER) |
| Authorized Official Telephone | 7063531630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 019390 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE GROUP NUMBER | GRP4622 | 01 |
| Street Address |
740 PRINCE AVE BLDG 8A |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1215373709 | Jan Beck | Surgery | 105 Old Hopkins St, Athens, PA 18810-1005 | 2013-05-11 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1902136146 | James Freeland Griffin | Surgery | 242 King Ave Ste 220, Athens, GA 30606 | 2010-01-11 |
| 1740423839 | Robert Bryan Dorman | Surgery | 115 Medical Cir Ste 107, Athens, TX 75751-9004 | 2009-04-20 |
| 1396875241 | Athens General & Colorectal Surgeons, PC | Surgery | 740 Prince Ave Ste 10, Athens, GA 30606-5903 | 2007-03-07 |
| 1992721500 | Riikka P Mohorn | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2006-07-15 |
| 1417917832 | Prabhakara Babu Ravi | Surgery | 102 Sanders St, Athens, AL 35611-2418 | 2006-03-28 |
| 1467432658 | Bradley Alan Bryan | Surgery | 75 Hospital Dr Ste 310, Athens, OH 45701-2860 | 2006-01-23 |
| 1982684361 | Charles Boggess Cox | Surgery | 503 W Madison Ave, Athens, TN 37303-3489 | 2006-01-20 |
| 1093706210 | Paul E Noel | Surgery | 201 N Malone St, Athens, AL 35611-1509 | 2005-11-04 |
| Find all providers in ATHENS | ||||
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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.