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● Active Type 2 · Organization

Southern Cross Surgery Center, Llc

Clinic/Center·Conyers, GA· NPI 1225321508 · Enumerated 2011 · 15 years on NPI
Southern Cross Surgery Center, Llc is 1 of 602 clinic/center organizations in Georgia.
NPI age
15 years
Enumerated 2011-05-19
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Talley
Md/owner
Last NPPES update
2015-04-29
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 6% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
1301 Sigman Rd Ne, Suite 120
Conyers, GA 300123812
📞 7707609360
Mailing address
1301 Sigman Rd Ne, Suite 120
Conyers, GA 300123812
📞 7707609360

Authorized official

R. L. Talley, MD
Md/owner
📞 7707609360

Individual providers at this organization

12 individual providers on file at this primary practice address.

Specialties

Ambulatory Health Care Facilities › Clinic/Center
  • Clinic/Center Primary
    Definition to come...
    GA license #029957 taxonomy 261QA1903X
  • Clinic/Center
    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
    GA license #29957 taxonomy 261Q00000X

Identifiers

TypeValueNotes
01 (GA) 202G490818 MEDICARE PTAN

Practice context

Multi-provider organization. 12 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Clinic/Center organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide