SPIVEY STATION SURGERY CENTER
NPI 1508974353
Clinic/Center - Ambulatory Surgical in Jonesboro, GA

Q: What is Southlake Ambulatory Surgery Center, Lllp's specialty?

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

Active since August 29, 2006

7813 SPIVEY STATION BLVD, SUITE 100, JONESBORO, GA 30236(770) 268-6000(770) 268-6001 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spivey Station Surgery Center NPPES

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

SPIVEY STATION SURGERY CENTER (NPI 1508974353) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Georgia and active in the NPI registry since August 2006. The organization lists John R Mclain, Executive Vp & Coo, as its authorized official.

NPPES Registry Identity

NPI1508974353

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSOUTHLAKE AMBULATORY SURGERY CENTER, LLLP

Location Address7813 SPIVEY STATION BLVD, SUITE 100Jonesboro, GA 30236-0000

Mailing Address11 Upper Riverdale Rd SwRiverdale, GA 30274-2615 · (770) 897-8000 · Fax (770) 268-6001

Phone(770) 268-6000

Fax(770) 268-6001

Organization SubpartNo

Authorized OfficialJohn R MclainExecutive Vp & Coo · (770) 991-8000

Enumeration DateAugust 29, 2006

Last NPPES UpdateJuly 25, 2013

✔ NPI 1508974353 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

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Other Names 1

Doing Business AsSpivey Station Surgery Center

Other Identifiers 4

Medicaid306743GA

Medicare ID-Type Unspecified111125ASCAGA

Medicare ID-Type Unspecified490003186GA · Railroad Medicare

Medicaid00973046AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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.

MISS MINH LAM TANG PAA

Anesthesiologist Assistant

7813 SPIVEY STATION BLVD
JONESBORO, GA 30236

Clayton County (404) 778-8311

SOUTHERN CRESCENT PHYSICIANS GROUP, INC.

Surgery

7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236

Clayton County (770) 996-3190

JANA ELIZABETH YATES

Nurse Practitioner (Family)

7813 SPIVEY STATION BLVD
JONESBORO, GA 30236

Clayton County (770) 268-6000

THE EMORY CLINIC INC

Clinic/Center (Ambulatory Surgical)

7813 SPIVEY STATION BLVD
JONESBORO, GA 30236

Clayton County (404) 778-3184

LAKE SPIVEY AMBULATORY SURGERY CARE, LLC

Clinic/Center (Ambulatory Surgical)

7813 SPIVEY STATION BLVD, SUITE 100
JONESBORO, GA 30236

Clayton County (770) 268-6000

NSH CANCER INSTITUTE PROFESSIONAL SERVICES A LLC

Durable Medical Equipment & Medical Supplies

7813 SPIVEY STATION BLVD, SUITE 210
JONESBORO, GA 30236

Clayton County (770) 507-0070

DARLA BALAS N.P.

Nurse Practitioner

7813 SPIVEY STATION BLVD, SUITE 210
LAKE SPIVEY, GA 30236

Clayton County (770) 507-0070

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 Southlake Ambulatory Surgery Center, Lllp's NPI number?

The NPI number for Southlake Ambulatory Surgery Center, Lllp is 1508974353. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Spivey Station Surgery Center.

Where is Southlake Ambulatory Surgery Center, Lllp located?

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

What is Southlake Ambulatory Surgery Center, Lllp's specialty?

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

What insurance does Southlake Ambulatory Surgery Center, Lllp accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southlake Ambulatory Surgery Center, Lllp 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 Southlake Ambulatory Surgery Center, Lllp was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.