CARROLLTON SURGICAL GROUP, P. A.
NPI 1033315924
Surgery in Wedowee, AL

Active since June 26, 2007CLIA 11D0712701 · Waiver
209 MAIN ST S, WEDOWEE, AL 36278(770) 834-3336(770) 832-2331 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carrollton Surgical Group, P. A. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARROLLTON SURGICAL GROUP, P. A. (NPI 1033315924) is a healthcare organization registered as a surgery in Wedowee, Alabama and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Jan M Zeis, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1033315924
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCARROLLTON SURGICAL GROUP, P. A.
Location Address209 MAIN ST SWedowee, AL 36278-5139
Mailing Address157 Clinic Ave, Suite 302Carrollton, GA 30117-4454 · (770) 834-3336 · Fax (770) 832-2331
Fax(770) 832-2331
Organization SubpartNo
Authorized OfficialJan M ZeisPractice Administrator · (770) 834-3336
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1033315924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

209 MAIN ST S, Wedowee, AL 36278

Other Identifiers 2

Medicaid55001589AGA
OtherCB2397GA · Medicare Rry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0712701

Carrollton Surgical Group · Carrollton, GA
Active · expires Sep 29, 2026
CLIA Number11D0712701
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorAustin Lewis
Laboratory Phone(770) 834-3336
Laboratory LocationCarrollton Surgical Group157 Clinic Avenue Suite 302, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
209 MAIN ST S
WEDOWEE, AL 36278
Home Health
209 MAIN ST S
WEDOWEE, AL 36278
Medicare Defined Swing Bed Unit
209 MAIN ST S
WEDOWEE, AL 36278
General Acute Care Hospital (Rural)
209 MAIN ST S
WEDOWEE, AL 36278
Internal Medicine
209 MAIN ST S
WEDOWEE, AL 36278

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carrollton Surgical Group, P. A.'s NPI number?

The NPI number for Carrollton Surgical Group, P. A. is 1033315924. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Carrollton Surgical Group, P. A. located?

Carrollton Surgical Group, P. A. is located at 209 Main St S, Wedowee, AL 36278. The listed phone number is (770) 834-3336.

What is Carrollton Surgical Group, P. A.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Carrollton Surgical Group, P. A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0712701) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carrollton Surgical Group, P. A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.