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STATESBORO AMBULATORY SURGERY CENTER, INC
NPI 1356619613
Clinic/Center - Ambulatory Surgical in Statesboro, GA

Active since December 01, 2011
95 BEL AIR DRIVE, STATESBORO, GA 30461(912) 489-6519(912) 764-7882 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Statesboro Ambulatory Surgery Center, Inc NPPES

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

STATESBORO AMBULATORY SURGERY CENTER, INC (NPI 1356619613) is a healthcare organization registered as an ambulatory surgical in Statesboro, Georgia and active in the NPI registry since December 2011. The organization lists Robert W Cushner, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1356619613
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTATESBORO AMBULATORY SURGERY CENTER, INC
Location Address95 BEL AIR DRIVEStatesboro, GA 30461
Mailing Address95 Bel Air DrStatesboro, GA 30461-6879 · (912) 489-6519 · Fax (912) 764-7882
Phone(912) 489-6519
Fax(912) 764-7882
Organization SubpartNo
Authorized OfficialRobert W CushnerCeo/owner · (912) 489-8727
Enumeration DateDecember 1, 2011
✔ NPI 1356619613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
95 BEL AIR DRIVE, Statesboro, GA 30461
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Other Identifiers 3

Medicaid000624896AGA
OtherGRP4317Provider Transaction Access Number
Medicare PIN111060ASCAGA

Other Providers at the Same Location NPPES 2

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

STATESBORO AMBUL SURG CTR INC
Clinic/Center (Ambulatory Surgical)
95 BEL AIR DRIVE
STATESBORO, GA 30461
Bulloch County (912) 489-6519
DR. ROBERT WILLIAM CUSHNER DPM
Podiatrist
95 BEL AIR DRIVE
STATESBORO, GA 30461
Bulloch County (912) 489-8727

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 Statesboro Ambulatory Surgery Center, Inc's NPI number?

The NPI number for Statesboro Ambulatory Surgery Center, Inc is 1356619613. It was assigned to this organization in the NPPES registry on December 1, 2011.

Where is Statesboro Ambulatory Surgery Center, Inc located?

Statesboro Ambulatory Surgery Center, Inc is located at 95 Bel Air Drive, Statesboro, GA 30461. The listed phone number is (912) 489-6519.

What is Statesboro Ambulatory Surgery Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Statesboro Ambulatory Surgery Center, Inc was last updated on December 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.