Centurion Surgery Center of Waycross LLC
NPI 1902653884 · Ambulatory Surgical Clinic/Center · Waycross, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centurion Surgery Center of Waycross LLC is a Ambulatory Surgical Clinic/Center organization in Waycross, GA (NPI 1902653884).
Provider details
- NPI number
- 1902653884
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Groth, Credentialing Manager(904) 256-2754
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
2 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
- 2024-04-30
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Frequently asked questions
- What is Centurion Surgery Center of Waycross LLC's NPI number?
- Centurion Surgery Center of Waycross LLC's National Provider Identifier (NPI) is 1902653884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centurion Surgery Center of Waycross LLC?
- Centurion Surgery Center of Waycross LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centurion Surgery Center of Waycross LLC located?
- Centurion Surgery Center of Waycross LLC's practice location on file with NPPES is 1218 Alice St Ste B, Waycross, GA 31501-4525.
- What is Centurion Surgery Center of Waycross LLC's phone number?
- The practice phone number listed in the NPPES registry for Centurion Surgery Center of Waycross LLC is (912) 590-0973.
- Does Centurion Surgery Center of Waycross LLC accept Medicare?
- Centurion Surgery Center of Waycross 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 Centurion Surgery Center of Waycross LLC?
- The authorized official listed on Centurion Surgery Center of Waycross LLC's NPPES record is Alicia Groth, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centurion Surgery Center of Waycross LLC's NPI active?
- Yes — Centurion Surgery Center of Waycross LLC's NPI (1902653884) is active in the NPPES registry as of the last update on 2025-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.