OrganizationActive
Eagles Landing Surgery, P.C.
NPI 1154551174 · Surgery Physician · Stockbridge, GA
Eagles Landing Surgery, P.C. is a Surgery Physician organization in Stockbridge, GA (NPI 1154551174).
Provider details
- NPI number
- 1154551174
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Wall, Registered Nurse(770) 389-1962
- License
- 034109 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 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
245 Village Center Pkwy
Suite 100
Stockbridge, GA 30281-9096
Phone: (770) 389-1962
Fax: (770) 389-0494
Street-level locationGet directions
Mailing address
245 Village Center Pkwy
Stockbridge, GA 30281-9096
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 2009-07-24
Frequently asked questions
- What is Eagles Landing Surgery, P.C.'s NPI number?
- Eagles Landing Surgery, P.C.'s National Provider Identifier (NPI) is 1154551174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagles Landing Surgery, P.C.?
- Eagles Landing Surgery, P.C. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Eagles Landing Surgery, P.C. located?
- Eagles Landing Surgery, P.C.'s practice location on file with NPPES is 245 Village Center Pkwy, Stockbridge, GA 30281-9096.
- What is Eagles Landing Surgery, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Eagles Landing Surgery, P.C. is (770) 389-1962.
- Who is the authorized official for Eagles Landing Surgery, P.C.?
- The authorized official listed on Eagles Landing Surgery, P.C.'s NPPES record is Robin Wall, Registered Nurse. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagles Landing Surgery, P.C.'s NPI active?
- Yes — Eagles Landing Surgery, P.C.'s NPI (1154551174) is active in the NPPES registry as of the last update on 2009-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.