SPIVEY STATION SURGERY CENTER
NPI 1487012480
Clinic/Center - Ambulatory Surgical in Jonesboro, GA

Active since February 04, 2016
7813 SPIVEY STATION BLVD, SUITE 100, JONESBORO, GA 30236(770) 268-6000 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spivey Station Surgery Center NPPES

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

SPIVEY STATION SURGERY CENTER (NPI 1487012480) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Georgia and active in the NPI registry since February 2016. The organization lists Christopher Doan, Chief Compliance Counsel, as its authorized official.

NPPES Registry Identity

NPI1487012480
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameLAKE SPIVEY AMBULATORY SURGERY CARE, LLC
Location Address7813 SPIVEY STATION BLVD, SUITE 100Jonesboro, GA 30236-2900
Mailing Address11 Upper Riverdale Rd SwRiverdale, GA 30274-2615 · (770) 991-8000
Organization SubpartNo
Authorized OfficialChristopher DoanChief Compliance Counsel · (909) 235-4307
Enumeration DateFebruary 4, 2016
NPI 1487012480 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 · 031127
7813 SPIVEY STATION BLVD, Jonesboro, GA 30236

Other Names 1

Doing Business AsSpivey Station Surgery Center

Other Identifiers 1

Medicare OSCAR/certification111125ASCAGA

Other Providers at the Same Location NPPES 7

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

Anesthesiologist Assistant
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Surgery
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Nurse Practitioner (Family)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD
JONESBORO, GA 30236
Durable Medical Equipment & Medical Supplies
7813 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236
Clinic/Center (Ambulatory Surgical)
7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236
Nurse Practitioner
7813 SPIVEY STATION BLVD, SUITE 210
LAKE SPIVEY, GA 30236

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 Lake Spivey Ambulatory Surgery Care, LLC's NPI number?

The NPI number for Lake Spivey Ambulatory Surgery Care, LLC is 1487012480. It was assigned to this organization in the NPPES registry on February 4, 2016. The provider is doing business as Spivey Station Surgery Center.

Where is Lake Spivey Ambulatory Surgery Care, LLC located?

Lake Spivey Ambulatory Surgery Care, LLC is located at 7813 Spivey Station Blvd Suite 100, Jonesboro, GA 30236. The listed phone number is (770) 268-6000.

What is Lake Spivey Ambulatory Surgery Care, LLC'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 Lake Spivey Ambulatory Surgery Care, LLC was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.