UPSON SURGICAL ASSOCIATES, LLC
NPI 1790076974
Surgery in Thomaston, GA

Active since April 22, 2011
612 WEST GORDON STREET, SUITE E, THOMASTON, GA 30286(706) 647-3116(706) 648-3368 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Upson Surgical Associates, Llc NPPES

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

UPSON SURGICAL ASSOCIATES, LLC (NPI 1790076974) is a healthcare organization registered as a surgery in Thomaston, Georgia and active in the NPI registry since April 2011. The organization lists Jeffrey Tarrant, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790076974
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameUPSON SURGICAL ASSOCIATES, LLC
Location Address612 WEST GORDON STREET, SUITE EThomaston, GA 30286-0027
Mailing AddressPo Box 1059, 801 West Gordon StreetThomaston, GA 30286-0027 · (706) 647-8111 · Fax (706) 646-3310
Fax(706) 648-3368
Organization SubpartNo
Authorized OfficialJeffrey TarrantCeo · (706) 647-8111
Enumeration DateApril 22, 2011
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
NPI 1790076974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

612 WEST GORDON STREET, Thomaston, GA 30286

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2188081
Facility Type
Physician Office
Certificate Effective Date
July 13, 2024
Certificate Expiration Date
July 12, 2026
Laboratory Director
DARRYL H. KNIGHT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Upson Surgical Associates, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for UPSON SURGICAL ASSOCIATES, LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
612 WEST GORDON STREET, SUITE C
THOMASTON, GA 30286

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790076974, enumerated as an "organization" on April 22, 2011.

The provider is located at 612 WEST GORDON STREET SUITE E THOMASTON, GA 30286 and the phone number is (706) 647-3116.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.