AUGUSTA UROLOGY SURGICENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1114984523
Ambulatory Surgical Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AUGUSTA UROLOGY SURGICENTER, LLC
811 13TH STREET, SUITE 17
AUGUSTA, GA 309012700
Phone: (706) 724-4111
Fax: (706) 823-0533
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
1
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20120127000737 | O | Ambulatory Surgical Center | GA | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3,000 | 14 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 635 | 558 | $0 |
| 76872 | Ultrasound scan of pelvic region through rectum | 264 | 262 | $0 |
| 55700 | Biopsy of prostate gland | 196 | 194 | $0 |
| 52281 | Dilation of urethra using an endoscope | 27 | 26 | $0 |
Insurance plans in this area (ZIP 30901)
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