GEORGIA SURGICARE
NPI 1508150509
Clinic/Center - Multi-Specialty in Loganville, GA

Active since June 07, 2011
367 ATHENS HWY, BUILDING 100 SUITE 100A, LOGANVILLE, GA 30052(678) 466-6760(678) 802-7094 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Georgia Surgicare NPPES

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

GEORGIA SURGICARE (NPI 1508150509) is a healthcare organization registered as a multi-specialty in Loganville, Georgia and active in the NPI registry since June 2011. The organization lists Christopher Ibikunle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508150509
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameGEORGIA SURGICARE
Location Address367 ATHENS HWY, BUILDING 100 SUITE 100ALoganville, GA 30052-2204
Mailing Address367 Athens Hwy, Building 100 Suite 100aLoganville, GA 30052-2204 · (678) 466-6760 · Fax (678) 802-7094
Fax(678) 802-7094
Organization SubpartNo
Authorized OfficialChristopher IbikunleCeo · (678) 466-6760
Enumeration DateJune 7, 2011
Last NPPES UpdateMarch 20, 2015
✔ NPI 1508150509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
367 ATHENS HWY, Loganville, GA 30052

Other Identifiers 1

Medicare PIN202G708170

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Surgicare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Georgia Surgicare, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

General Surgery
NPI 1992981302
367 ATHENS HWY BUILDING 100 SUITE 100A
Loganville, GA 30052
(678) 466-6760
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1558539155
367 ATHENS HWY BLD 100 SUITE 100A
Loganville, GA 30052
(678) 466-6760
✔ PECOSSame address
General Surgery
NPI 1629226758
367 ATHENS HWY BUILDING 100 SUITE 100A
Loganville, GA 30052
(678) 466-6760
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932749470
5585 TRACE VIEWS DR
Norcross, GA 30071
(404) 932-9767
✔ PECOS18 mi
General Surgery
NPI 1184889792
5755 N POINT PKWY STE 223
Alpharetta, GA 30022
(678) 379-6560
✔ PECOS✔ Accepts Medicare25 mi
General Surgery
NPI 1780984658
1105 UPPER HEMBREE RD STE A
Roswell, GA 30076
(678) 626-0909
✔ PECOS✔ Accepts Medicare27 mi
General Surgery
NPI 1407262876
970 JOE FRANK HARRIS PKWY SE STE 120
Cartersville, GA 30120
(470) 490-3200
✔ PECOS✔ Accepts Medicare59 mi
General Surgery
NPI 1447351655
135 S PROSPECT ST
Ypsilanti, MI 48198
(734) 547-4900
✔ PECOS✔ Accepts Medicare579 mi
General Surgery
NPI 1205105731
1350 N 500 E
Logan, UT 84341
(435) 716-1950
✔ PECOS✔ Accepts Medicare1,614 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Georgia Surgicare's NPI number?

The NPI number for Georgia Surgicare is 1508150509. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Georgia Surgicare located?

Georgia Surgicare is located at 367 Athens Hwy Building 100 Suite 100A, Loganville, GA 30052. The listed phone number is (678) 466-6760.

What is Georgia Surgicare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Georgia Surgicare enrolled in Medicare?

Yes. Georgia Surgicare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Surgicare?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Georgia Surgicare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (8) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgia Surgicare accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Surgicare 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 Georgia Surgicare was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.