FAMILY PRACTICE & SURGERY
NPI 1780836064
General Practice in Eatonton, GA

Active since October 17, 2008CLIA 11D1041356 · Waiver
120 SPARTA HWY, EATONTON, GA 31024(706) 485-4002(706) 485-7117 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Practice & Surgery NPPES

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

FAMILY PRACTICE & SURGERY (NPI 1780836064) is a healthcare organization registered as a general practice in Eatonton, Georgia and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Omar Akhras, Sole Mer, as its authorized official.

NPPES Registry Identity

NPI1780836064
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFAMILY PRACTICE & SURGERY
Location Address120 SPARTA HWYEatonton, GA 31024-8484
Mailing Address446 Spring St, P.o. Box 485Sparta, GA 31087-1983 · (706) 444-6521 · Fax (706) 444-6839
Fax(706) 485-7117
Organization SubpartNo
Authorized OfficialOmar AkhrasSole Mer · (706) 444-6521
Enumeration DateOctober 17, 2008
NPI 1780836064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in GA · 020504
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
120 SPARTA HWY, Eatonton, GA 31024

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

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 11D1041356

Family Practice Surgery Clinic · Eatonton, GA
Active · expires May 30, 2027
CLIA Number11D1041356
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorOmar Akhras
Laboratory Phone(706) 485-4002
Laboratory LocationFamily Practice Surgery Clinic120 Sparta Highway, Eatonton, GA 31024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Rural Health)
120 SPARTA HWY
EATONTON, GA 31024

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 Family Practice & Surgery's NPI number?

The NPI number for Family Practice & Surgery is 1780836064. It was assigned to this organization in the NPPES registry on October 17, 2008.

Where is Family Practice & Surgery located?

Family Practice & Surgery is located at 120 Sparta Hwy, Eatonton, GA 31024. The listed phone number is (706) 485-4002.

What is Family Practice & Surgery's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Family Practice & Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1041356) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Practice & Surgery was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.