OrganizationActive
South Regional Surgical Services
NPI 1679090815 · Exclusive Provider Organization · Fayetteville, GA
Provider details
- NPI number
- 1679090815
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Anthony Robinson, President(678) 662-8792
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
145 Forest Hall Ln
Fayetteville, GA 30214-4025
Phone: (678) 662-8792
Street-level locationGet directions
Mailing address
145 Forest Hall Ln
Fayetteville, GA 30214-4025
Registry dates
- Enumerated
- 2017-08-28
- Last updated
- 2017-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.