OrganizationActive
Macon Outpatient Surgery Inc
NPI 1104072453 · Ambulatory Surgical Clinic/Center · Macon, GA
Provider details
- NPI number
- 1104072453
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Georgia Lee, Chief Operating Officer(478) 745-4206
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3708 Northside Dr
Macon, GA 31210-2404
Phone: (478) 745-4206
Fax: (478) 254-5463
Street-level locationGet directions
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Registry dates
- Enumerated
- 2008-08-18
- Last updated
- 2012-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.