P Praxis·MD
● Active Type 2 · Organization

Statesboro Ambulatory Surgery Center, Inc

Clinic/Center·Statesboro, GA· NPI 1356619613 · Enumerated 2011 · 14 years on NPI
Statesboro Ambulatory Surgery Center, Inc is 1 of 602 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2011-12-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cushner
Ceo/owner
Last NPPES update
2011-12-01
Source: monthly bulk 2026-05

How this organization compares

Across 602 active clinic/center providers in Georgia.

NPI age
14 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
95 Bel Air Drive
Statesboro, GA 30461
📞 9124896519fax 9127647882
Mailing address
95 Bel Air Dr
Statesboro, GA 304616879
📞 9124896519fax 9127647882

Authorized official

Robert W Cushner, D.P.M.
Ceo/owner
📞 9124898727

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Identifiers

TypeValueNotes
01 GRP4317 PROVIDER TRANSACTION ACCESS NUMBER
05 (GA) 000624896A

Practice context

Multi-provider organization. 1 individual provider 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.

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