Ent of South Georgia Surgery Center LLC
NPI 1104272780 · Ambulatory Surgical Clinic/Center · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ent of South Georgia Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Valdosta, GA (NPI 1104272780).
Provider details
- NPI number
- 1104272780
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Ear, Nose, Throat and Allergy Associates of South Georgia PC
- Organization subpart
- Yes
- Authorized official
- Ronald Allen, President(229) 244-2562
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-05-12
- Last updated
- 2017-05-03
Frequently asked questions
- What is Ent of South Georgia Surgery Center LLC's NPI number?
- Ent of South Georgia Surgery Center LLC's National Provider Identifier (NPI) is 1104272780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ent of South Georgia Surgery Center LLC?
- Ent of South Georgia Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ent of South Georgia Surgery Center LLC located?
- Ent of South Georgia Surgery Center LLC's practice location on file with NPPES is 2805 N Oak St, Valdosta, GA 31602-5922.
- What is Ent of South Georgia Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Ent of South Georgia Surgery Center LLC is (229) 244-2562.
- Does Ent of South Georgia Surgery Center LLC accept Medicare?
- Ent of South Georgia Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ent of South Georgia Surgery Center LLC?
- The authorized official listed on Ent of South Georgia Surgery Center LLC's NPPES record is Ronald Allen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ent of South Georgia Surgery Center LLC's NPI active?
- Yes — Ent of South Georgia Surgery Center LLC's NPI (1104272780) is active in the NPPES registry as of the last update on 2017-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.