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CLAYTON OUTPATIENT SURGICAL CENTER
NPI 1538166012
Clinic/Center - Ambulatory Surgical in Jonesboro, GA

Active since June 30, 2005
6911 TARA BLVD, SUITE 104, JONESBORO, GA 30236(770) 477-9535(770) 471-7826 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clayton Outpatient Surgical Center NPPES

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

CLAYTON OUTPATIENT SURGICAL CENTER (NPI 1538166012) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Georgia and active in the NPI registry since June 2005. The organization lists Stanley Kalish, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538166012
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCLAYTON OUTPATIENT SURGICAL CENTER
Location Address6911 TARA BLVD, SUITE 104Jonesboro, GA 30236-1503
Mailing Address6911 Tara Blvd, Suite 104Jonesboro, GA 30236-1503 · (770) 477-9535 · Fax (770) 471-7826
Phone(770) 477-9535
Fax(770) 471-7826
Organization SubpartNo
Authorized OfficialStanley KalishMedical Director · (770) 477-9535
Enumeration DateJune 30, 2005
Last NPPES UpdateAugust 12, 2010
✔ NPI 1538166012 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 · 031-070
6911 TARA BLVD, Jonesboro, GA 30236
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified111048ASCAGA
Medicaid00649833AGA
Other490002632GA · Railroad Medicare

Other Providers at the Same Location NPPES 6

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

MYRNA GACUSAN
Nurse Practitioner (Family)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-8573
CLAYTON MOBILE DIAGNOSTIC CLINIC
Podiatrist
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-9535
ATLANTA FOOT AND LEG CLINIC
Podiatrist (Foot & Ankle Surgery)
6911 TARA BLVD, SUITE 101
JONESBORO, GA 30236
Clayton County (770) 477-9535
MIKE Y. TAN, M.D.P.C.
Case Management
6911 TARA BLVD, SUITE 111
JONESBORO, GA 30236
Clayton County (770) 478-2057
NON-HEALING WOUND CENTERS OF ATLANTA
Clinic/Center (Podiatric)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-9535
DR. STANLEY RICHARD KALISH DPM
Podiatrist (Foot & Ankle Surgery)
6911 TARA BLVD
JONESBORO, GA 30236
Clayton County (770) 477-9535

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 Clayton Outpatient Surgical Center's NPI number?

The NPI number for Clayton Outpatient Surgical Center is 1538166012. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Clayton Outpatient Surgical Center located?

Clayton Outpatient Surgical Center is located at 6911 Tara Blvd Suite 104, Jonesboro, GA 30236. The listed phone number is (770) 477-9535.

What is Clayton Outpatient Surgical Center'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 Clayton Outpatient Surgical Center was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.