AZALEA SURGERY CENTER
NPI 1467664268
Clinic/Center - Ambulatory Surgical in Valdsota, GA

Active since May 04, 2007CLIA 11D1010600 · Waiver
2810 NORTH OAK STREET, VALDSOTA, GA 31602(229) 259-0019(229) 259-0209 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Azalea Surgery Center NPPES

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

AZALEA SURGERY CENTER (NPI 1467664268) is a healthcare organization registered as an ambulatory surgical in Valdsota, Georgia and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Bridgett Moore, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467664268
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAZALEA SURGERY CENTER
Location Address2810 NORTH OAK STREETValdsota, GA 31602
Mailing Address2810 N Oak StValdosta, GA 31602-1716 · (229) 259-0019 · Fax (229) 259-0209
Fax(229) 259-0209
Organization SubpartNo
Authorized OfficialBridgett MooreMedical Director · (229) 259-0019
Enumeration DateMay 4, 2007
Last NPPES UpdateApril 16, 2008
NPI 1467664268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · 092266
2810 NORTH OAK STREET, Valdsota, GA 31602

Other Identifiers 3

Medicare UPINH01627GA
Other598880GA · Bcbs Ga Provider #
Medicare PIN111227ASCAGA

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 11D1010600

Azalea Surgery Center · Valdosta, GA
Active · expires Mar 18, 2027
CLIA Number11D1010600
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorBridgett Moore
Laboratory Phone(229) 259-0019
Laboratory LocationAzalea Surgery Center2810 North Oak Street, Valdosta, GA 31602
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Azalea Surgery Center's NPI number?

The NPI number for Azalea Surgery Center is 1467664268. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Azalea Surgery Center located?

Azalea Surgery Center is located at 2810 North Oak Street, Valdsota, GA 31602. The listed phone number is (229) 259-0019.

What is Azalea Surgery Center's specialty?

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

Does Azalea Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1010600) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Azalea Surgery Center was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.