Lake Spivey Ambulatory Surgery Care, LLC
NPI 1487012480 · Ambulatory Surgical Clinic/Center · Jonesboro, GA
Lake Spivey Ambulatory Surgery Care, LLC is a Ambulatory Surgical Clinic/Center organization in Jonesboro, GA (NPI 1487012480).
Provider details
- NPI number
- 1487012480
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Doan, Chief Compliance Counsel(909) 235-4307
- License
- 031127 (GA)
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
Other names (DBA / former)
- Doing business as
- Spivey Station Surgery Center
Registry dates
- Enumerated
- 2016-02-04
- Last updated
- 2016-02-04
Frequently asked questions
- What is Lake Spivey Ambulatory Surgery Care, LLC's NPI number?
- Lake Spivey Ambulatory Surgery Care, LLC's National Provider Identifier (NPI) is 1487012480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Spivey Ambulatory Surgery Care, LLC?
- Lake Spivey Ambulatory Surgery Care, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Spivey Ambulatory Surgery Care, LLC located?
- Lake Spivey Ambulatory Surgery Care, LLC's practice location on file with NPPES is 7813 Spivey Station Blvd, Jonesboro, GA 30236-2900.
- What is Lake Spivey Ambulatory Surgery Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Spivey Ambulatory Surgery Care, LLC is (770) 268-6000.
- Who is the authorized official for Lake Spivey Ambulatory Surgery Care, LLC?
- The authorized official listed on Lake Spivey Ambulatory Surgery Care, LLC's NPPES record is Christopher Doan, Chief Compliance Counsel. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Spivey Ambulatory Surgery Care, LLC's NPI active?
- Yes — Lake Spivey Ambulatory Surgery Care, LLC's NPI (1487012480) is active in the NPPES registry as of the last update on 2016-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.