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

Active since April 22, 2011CLIA 11D2188081 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through July 12, 2028 and 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
Phone(706) 647-3116
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
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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 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 11D2188081

Upson Surgical Associates, LLC · Thomaston, GA
Active · expires Jul 12, 2028
CLIA Number11D2188081
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2026
Certificate Expiration DateJuly 12, 2028
Laboratory DirectorDarryl H. Knight
Laboratory Phone(706) 648-3368
Laboratory LocationUpson Surgical Associates, LLC612 West Gordon Street Suite B, Thomaston, GA 30286
CLIA data matches this NPI record on: Address Name
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.

UPSON FAMILY PHYSICIANS, LC
Family Medicine
612 WEST GORDON STREET, SUITE C
THOMASTON, GA 30286
Upson County (706) 647-7009

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 Upson Surgical Associates, LLC's NPI number?

The NPI number for Upson Surgical Associates, LLC is 1790076974. It was assigned to this organization in the NPPES registry on April 22, 2011.

Where is Upson Surgical Associates, LLC located?

Upson Surgical Associates, LLC is located at 612 West Gordon Street Suite E, Thomaston, GA 30286. The listed phone number is (706) 647-3116.

What is Upson Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Upson Surgical Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2188081) is associated with this NPI, valid through July 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Upson Surgical Associates, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Upson Surgical Associates, 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 Upson Surgical Associates, LLC was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.