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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: November 01, 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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upson Surgical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Upson Surgical Associates, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Interventional Cardiology15
Cardiovascular Disease (Cardiology)8
General Surgery4
Otolaryngology3
Internal Medicine2
Urology2
Nurse Practitioner1
Qualified Audiologist1

Nearest to this location (20)

See all 36
Mark Dorogy, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275577934
612 W GORDON ST SUITE C
Thomaston, GA 30286
(706) 646-5712
✔ PECOSSame address
Darryl Knight, M.D.
General Surgery
NPI 1154577872
612 W GORDON ST SUITE B
Thomaston, GA 30286
(706) 648-3368
✔ PECOS✔ Accepts MedicareSame address
Candice Nipp, NP-C
Nurse Practitioner
NPI 1699128595
612 W GORDON ST STE C
Thomaston, GA 30286
(706) 646-5712
✔ PECOS✔ Accepts MedicareSame address
Robert Solyomvari, MD
General Surgery
NPI 1992750012
612 W GORDON ST SUITE B
Thomaston, GA 30286
(706) 648-3368
✔ PECOS✔ Accepts MedicareSame address
Daniel Bridges, M.D.
Urology
NPI 1871507996
915 W GORDON ST
Thomaston, GA 30286
(706) 647-9412
✔ PECOS✔ Accepts Medicare0.1 mi
David Thomson, M.D.
Otolaryngology
NPI 1538148499
100 HIGHWAY 18 W STE 202
Barnesville, GA 30204
(770) 872-2321
✔ PECOS✔ Accepts Medicare14 mi
Joshua Donis, MD
Cardiovascular Disease (Cardiology)
NPI 1770569048
1267 HIGHWAY 54 W STE 2200
Fayetteville, GA 30214
(770) 716-0051
✔ PECOS✔ Accepts Medicare40 mi
Kerry Evans, AUD
Qualified Audiologist
NPI 1639516628
2424 DOUBLE CHURCHES RD
Columbus, GA 31909
(706) 324-6112
✔ Accepts Medicare43 mi
Angampally Rajeev, MD
Interventional Cardiology
NPI 1891738118
1551 DOCTORS DRIVE BLDG 200
Lagrange, GA 30240
(706) 884-2641
✔ PECOS✔ Accepts Medicare43 mi
Adeyinka Adeniyi, MD
Internal Medicine
NPI 1609439629
720 WESTVIEW DR SW
Atlanta, GA 30310
(423) 331-3582
✔ PECOS✔ Accepts Medicare59 mi
Herbert Jones, M.D.
Otolaryngology
NPI 1164510681
2600 MARTIN LUTHER KING JR DR SW SUITE 204
Atlanta, GA 30311
(404) 691-7460
✔ PECOS60 mi
Sandra Dickerson, M.D.
Otolaryngology
NPI 1164521985
5695 KILRUSH CT SE
Mableton, GA 30126
(404) 578-1057
✔ PECOS65 mi
Vishal Bhalani, M.D.
Urology
NPI 1902025596
960 SANDERS RD STE 500
Cumming, GA 30041
(678) 321-7227
✔ PECOS✔ Accepts Medicare90 mi
Maxwell Prempeh, MD
Cardiovascular Disease (Cardiology)
NPI 1992867592
150 GENTILLY BLVD
Cartersville, GA 30120
(770) 606-8359
✔ PECOS✔ Accepts Medicare93 mi
Ali Homayuni, MD
Interventional Cardiology
NPI 1619975026
6301 ABERCORN ST
Savannah, GA 31405
(917) 287-2974
✔ PECOS✔ Accepts Medicare198 mi
Arthur Cooler, MD
General Surgery
NPI 1326078890
114 GATEWAY CORPORATE BLVD STE 420
Columbia, SC 29203
(803) 365-8650
✔ PECOS✔ Accepts Medicare212 mi
Harpreet Bhalla, M.D.
Interventional Cardiology
NPI 1255327045
2555 COURT DR SUITE 200
Gastonia, NC 28054
(704) 867-2141
✔ PECOS✔ Accepts Medicare246 mi
Gregory Barrett, MD
General Surgery
NPI 1487115119
620 SKYLINE DR
Jackson, TN 38301
(731) 541-5000
✔ PECOS✔ Accepts Medicare320 mi
Jaymin Patel, MD
Cardiovascular Disease (Cardiology)
NPI 1831517598
14100 FIVAY RD STE 160
Hudson, FL 34667
(727) 862-1080
✔ PECOS327 mi
Lalit Vadlamani, M.D.
Internal Medicine
NPI 1770552648
1210 CLARK ST
Cambridge, OH 43725
(740) 435-2700
✔ PECOS✔ Accepts Medicare516 mi
See all 36 clinicians

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 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.

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.

Is Upson Surgical Associates, LLC enrolled in Medicare?

Yes. Upson Surgical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upson Surgical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 8 Medicare specialties reassign their Medicare billing to Upson Surgical Associates, LLC. 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. The largest specialties are Interventional Cardiology (15), Cardiovascular Disease (Cardiology) (8) and General Surgery (4). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.