WGUASC, LLC – Ambulatory Surgical Clinic/Center, NPI 1922597517

WGUASC, LLC is a healthcare provider. based in Carrollton, Georgia. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for WGUASC, LLC is 1922597517

Main info

Organization
Name
WGUASC, LLC
NPI
1922597517
Phone
(770) 834-6988
Address
150 CLINIC AVE STE 202
Authorized Official
MR. CLINT HOFFMAN SR VP
Enumeration Date
9 May 2018
Last Update Date
29 February 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for WGUASC, LLC

  • Clinic Avenue, Carrollton, Carroll County, Georgia, 30119, United States

    CARROLLTON, GA 301174402

    Phone: (770) 834-6988

    Fax: (770) 834-1090

    Type: Mailing

  • 100 GREENWAY BLVD FL 2

    CARROLLTON, GA 301174338

    Phone: (770) 838-8710

    Type: Mailing

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: 2019-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (281 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20190503002172OAmbulatory Surgical CenterGA2025-08-31

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
J0585Injection, onabotulinumtoxina, 1 unit2,30013$0
52000Diagnostic exam of bladder and urethra using an endoscope290250$0
52310Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope4644$0
55700Biopsy of prostate gland2929$0
64561Insertion of sacral nerve neurostimulator electrode array2112$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Reviews

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Frequently asked questions

What number should I use to identify WGUASC, LLC for billing?
Administrative and clinical systems typically use NPI 1922597517 for WGUASC, LLC.
Quick check: is WGUASC, LLC active?
Public NPPES data shows WGUASC, LLC with an active NPI status right now.
What services align with WGUASC, LLC's listing?
WGUASC, LLC's public classification highlights Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
What city is tied to WGUASC, LLC?
The directory associates WGUASC, LLC with Carrollton, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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