ROCKDALE SURGICAL CENTER
NPI 1427237031
Urology in Covington, GA

Active since October 31, 2007CLIA 11D0720941 · Microscopy
4122 TATE ST NE, COVINGTON, GA 30014(770) 760-0182(770) 483-3291 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rockdale Surgical Center NPPES

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

ROCKDALE SURGICAL CENTER (NPI 1427237031) is a healthcare organization registered as an urology in Covington, Georgia and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through August 11, 2027 and lists Lynwood Cleaveland, Doctor, as its authorized official.

NPPES Registry Identity

NPI1427237031
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameROCKDALE SURGICAL CENTER
Location Address4122 TATE ST NECovington, GA 30014-2551
Mailing Address4122 Tate St NeCovington, GA 30014-2551
Fax(770) 483-3291
Organization SubpartYes
Authorized OfficialLynwood CleavelandDoctor · (770) 760-0182
Enumeration DateOctober 31, 2007
Last NPPES UpdateJuly 10, 2019
✔ NPI 1427237031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 023925
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4122 TATE ST NE, Covington, GA 30014

Other Identifiers 1

Medicaid00399506AGA

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

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0720941

Rockdale Surgical Center · Covington, GA
Active · expires Aug 11, 2027
CLIA Number11D0720941
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorLynwood P. Cleaveland
Laboratory Phone(770) 760-0182
Laboratory LocationRockdale Surgical Center4122 Tate Street, NE, Covington, GA 30014
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Urology
4122 TATE ST NE
COVINGTON, GA 30014

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 Rockdale Surgical Center's NPI number?

The NPI number for Rockdale Surgical Center is 1427237031. It was assigned to this organization in the NPPES registry on October 31, 2007.

Where is Rockdale Surgical Center located?

Rockdale Surgical Center is located at 4122 Tate St NE, Covington, GA 30014. The listed phone number is (770) 760-0182.

What is Rockdale Surgical Center's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Rockdale Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0720941) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rockdale Surgical Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rockdale Surgical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rockdale Surgical Center was last updated on July 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.