OrganizationActive
Southlake Ambulatory Surgery Center, Lllp
NPI 1508974353 · Ambulatory Surgical Clinic/Center · Jonesboro, GA
Provider details
- NPI number
- 1508974353
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Mclain, Executive Vp & Coo(770) 991-8000
- License
- 031127 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7813 Spivey Station Blvd
Suite 100
Jonesboro, GA 30236-0000
Phone: (770) 268-6000
Fax: (770) 268-6001
Street-level locationGet directions
Mailing address
11 Upper Riverdale Rd Sw
Riverdale, GA 30274-2615
Other names (DBA / former)
- Doing business as
- Spivey Station Surgery Center
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2013-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.