MACON OUTPATIENT SURGERY, LLC – Ambulatory Surgical Clinic/Center, NPI 1386652667

MACON OUTPATIENT SURGERY, LLC is a healthcare provider. based in Macon, Georgia. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for MACON OUTPATIENT SURGERY, LLC is 1386652667

Main info

Organization
Name
MACON OUTPATIENT SURGERY, LLC
NPI
1386652667
Phone
(475) 745-4206
Address
3708 NORTHSIDE DR
Authorized Official
WILLIAM LINDSEY JR. CEO
Enumeration Date
3 August 2006
Last Update Date
13 April 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MACON OUTPATIENT SURGERY, LLC

  • 3708, Northside Drive, McKibben Lane, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312102404

    Phone: (475) 745-4206

    Fax: (478) 254-5463

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (862 days ago).

Enrollment records

1

Earliest due date

2024-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20080618000647OAmbulatory Surgical CenterGA2024-01-31

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level146108$0
29848Release of wrist ligament using an endoscope141119$0
27447Replacement of knee joint, both sides of knee137131$0
62323Injection of substance into lower spine canal using imaging guidance13592$0
26055Incision of tendon covering of finger12194$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

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Reviews

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Frequently asked questions

What identifier follows MACON OUTPATIENT SURGERY, LLC across health systems?
The NPI 1386652667 uniquely identifies MACON OUTPATIENT SURGERY, LLC in U.S. healthcare data.
Does the public listing show MACON OUTPATIENT SURGERY, LLC as active?
MACON OUTPATIENT SURGERY, LLC's NPI record reflects an active status in NPPES.
What does the directory say MACON OUTPATIENT SURGERY, LLC does?
Insurance directories may phrase it differently, but here MACON OUTPATIENT SURGERY, LLC maps to Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MACON OUTPATIENT SURGERY, LLC?
MACON OUTPATIENT SURGERY, LLC is associated with Macon, Georgia in the same public data insurers reference.
Who maintains MACON OUTPATIENT SURGERY, LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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