NORTHWEST PLAZA ASC LLC
NPI 1528196888
Clinic/Center - Ambulatory Surgical in Albany, GA

Q: What is Northwest Plaza ASC LLC's NPI number?

The NPI number for Northwest Plaza ASC LLC is 1528196888. It was assigned to this organization in the NPPES registry on March 1, 2007.

Q: What is Northwest Plaza ASC LLC's specialty?

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

Active since March 01, 2007CLIA 11D1067660 · Waiver

2311 LAKE PARK DR, SUITE 4, ALBANY, GA 31707(229) 435-0525(229) 434-9827 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northwest Plaza Asc Llc NPPES

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

NORTHWEST PLAZA ASC LLC (NPI 1528196888) is a healthcare organization registered as an ambulatory surgical in Albany, Georgia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Natalie D. Dixon, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1528196888

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNORTHWEST PLAZA ASC LLC

Location Address2311 LAKE PARK DR, SUITE 4Albany, GA 31707-3183

Mailing Address2311 Lake Park Dr, Suite 4Albany, GA 31707-3183 · (229) 435-0525 · Fax (229) 434-9827

Phone(229) 435-0525

Fax(229) 434-9827

Organization SubpartNo

Authorized OfficialNatalie D. DixonChief Operating Officer · (229) 435-0525

Enumeration DateMarch 1, 2007

Last NPPES UpdateFebruary 28, 2017

✔ NPI 1528196888 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 · 35890

2311 LAKE PARK DR, Albany, GA 31707

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Other Identifiers 2

Medicare ID-Type Unspecified20BBFKNGA

Medicare UPINF41795GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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 11D1067660

Northwest Plaza ASC · Albany, GA

Active · expires Apr 23, 2027

CLIA Number11D1067660

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 24, 2025

Certificate Expiration DateApril 23, 2027

Laboratory DirectorBobby Darrell Prince

Laboratory Phone(229) 317-0742

Laboratory LocationNorthwest Plaza ASC2311 Lake Park Drive, Albany, GA 31707

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

7,714 services29 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

126 services95 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

90 services30 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

54 services45 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

31 services26 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

30 services17 patients

Other Providers at the Same Location NPPES 15

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

PHILLIP D HAJEK MD

Orthopaedic Surgery