OrganizationActive
Athens Surgical Group PC
NPI 1912104712 · Surgery Physician · Athens, GA
Provider details
- NPI number
- 1912104712
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Nix, Office Manager(706) 353-1630
- License
- 019390 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
740 Prince Ave Bldg 8a
Athens, GA 30606-5903
Phone: (706) 353-1630
Fax: (706) 543-6825
Street-level locationGet directions
Mailing address
740 Prince Ave Bldg 8a
Athens, GA 30606-5903
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2010-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.