SURGICAL CENTER FOR UROLOGY LLC
NPI 1477651610
Clinic/Center - Ambulatory Surgical in Stockbridge, GA

Active since September 20, 2006CLIA 11D1046707 · Waiver
180 N PARK TRL STE 200, STOCKBRIDGE, GA 30281(678) 565-1806(678) 565-1904 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Oct 2, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Surgical Center For Urology Llc NPPES

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

SURGICAL CENTER FOR UROLOGY LLC (NPI 1477651610) is a healthcare organization registered as an ambulatory surgical in Stockbridge, Georgia and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Cheris L Craig, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1477651610
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL CENTER FOR UROLOGY LLC
Location Address180 N PARK TRL STE 200Stockbridge, GA 30281-7372
Mailing Address180 N Park Trl Ste 200Stockbridge, GA 30281-7372 · (678) 565-1806 · Fax (678) 565-1904
Fax(678) 565-1904
Organization SubpartNo
Authorized OfficialCheris L CraigChief Administrative Officer · (770) 474-5281
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1477651610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
180 N PARK TRL STE 200, Stockbridge, GA 30281

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 of Waiver 11D1046707

Surgical Center For Urology, LLC · Stockbridge, GA
Active · expires Oct 16, 2027
CLIA Number11D1046707
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorGeorge W. Jabren
Laboratory Phone(678) 565-1806
Laboratory LocationSurgical Center For Urology, LLC180 North Park Trail, Suite 200, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Brachytherapy source, non-stranded, iodine-125, per source C2639
Brachytherapy with iodine-125 involves placing tiny radioactive seeds in or near a tumor. These seeds emit radiation to destroy cancer cells while sparing surrounding healthy tissue. Each seed is about the size of a grain of rice. This therapy is used for various types of cancer.
2,225 services26 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
147 services115 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
119 services118 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
118 services117 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
87 services73 patients
Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
76 services65 patients

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 Surgical Center For Urology LLC's NPI number?

The NPI number for Surgical Center For Urology LLC is 1477651610. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Surgical Center For Urology LLC located?

Surgical Center For Urology LLC is located at 180 N Park Trl Ste 200, Stockbridge, GA 30281. The listed phone number is (678) 565-1806.

What is Surgical Center For Urology LLC's specialty?

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

Does Surgical Center For Urology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1046707) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgical Center For Urology LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Surgical Center For Urology LLC 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 Surgical Center For Urology LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.