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RSPS FAYETTEVILLE ASC
NPI 1750905618
Clinic/Center - Ambulatory Surgical in Fayetteville, GA

Active since June 05, 2020CLIA 11D2187806 · Waiver
874 LANIER AVE W STE 260, FAYETTEVILLE, GA 30214(404) 618-0995(404) 618-0995 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2021, Mar 1, 2021, Feb 5, 2021 and 1 more (4 updates tracked since 2020).

About Rsps Fayetteville Asc NPPES

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

RSPS FAYETTEVILLE ASC (NPI 1750905618) is a healthcare organization registered as an ambulatory surgical in Fayetteville, Georgia and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through July 7, 2028 and lists Zwade Marshall, Owner, as its authorized official.

NPPES Registry Identity

NPI1750905618
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRSPS FAYETTEVILLE ASC LLC
Location Address874 LANIER AVE W STE 260Fayetteville, GA 30214-7669
Mailing Address874 Lanier Ave W Ste 260Fayetteville, GA 30214-7669 · (404) 618-0995
Phone(404) 618-0995
Fax(404) 618-0995
Organization SubpartNo
Authorized OfficialZwade MarshallOwner · (404) 618-0995
Enumeration DateJune 5, 2020
Last NPPES UpdateDecember 7, 20214 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
✔ NPI 1750905618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
874 LANIER AVE W STE 260, Fayetteville, GA 30214
Open in Google Maps ↗

Other Names 1

Doing Business AsRsps Fayetteville Asc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rsps Fayetteville Asc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rsps Fayetteville ASC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jennifer Xiong, MD
Pain Management
NPI 1497250591
874 LANIER AVE W STE 250
Fayetteville, GA 30214
(404) 618-0995
✔ PECOS✔ Accepts MedicareSame address
Zwade Marshall, M.D.
Pain Management
NPI 1750671400
874 LANIER AVE W STE 250
Fayetteville, GA 30214
(404) 618-0995
✔ PECOS✔ Accepts Medicare0.1 mi
Woodley Mardy-Davis, M.D.
Anesthesiology
NPI 1619188505
12389 CRABAPPLE RD
Alpharetta, GA 30004
(470) 299-1998
✔ PECOS45 mi

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

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 11D2187806

Rsps Fayetteville ASC · Fayetteville, GA
Active · expires Jul 7, 2028
CLIA Number11D2187806
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorZwade J. Marshall
Laboratory Phone(404) 618-0995
Laboratory LocationRsps Fayetteville ASC874 West Lanier Avenue Suite 260, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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 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.
80 services23 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.
71 services35 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.
55 services43 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.
36 services23 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
32 services16 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.
16 services14 patients

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 Rsps Fayetteville ASC LLC's NPI number?

The NPI number for Rsps Fayetteville ASC LLC is 1750905618. It was assigned to this organization in the NPPES registry on June 5, 2020. The provider is doing business as Rsps Fayetteville ASC.

Where is Rsps Fayetteville ASC LLC located?

Rsps Fayetteville ASC LLC is located at 874 Lanier Ave W Ste 260, Fayetteville, GA 30214. The listed phone number is (404) 618-0995.

What is Rsps Fayetteville ASC LLC's specialty?

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

Is Rsps Fayetteville ASC LLC enrolled in Medicare?

Yes. Rsps Fayetteville ASC LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rsps Fayetteville ASC LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rsps Fayetteville ASC LLC, in Anesthesiology and Pain Management. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rsps Fayetteville ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2187806) is associated with this NPI, valid through July 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rsps Fayetteville ASC LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Rsps Fayetteville ASC LLC 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 Rsps Fayetteville ASC LLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.