NPI age
10 years
Enumerated 2016-02-04
● Active Type 2 · Organization
Lake Spivey Ambulatory Surgery Care, Llc
Lake Spivey Ambulatory Surgery Care, Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Doan
Chief Compliance Counsel
Last NPPES update
2016-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
7813 Spivey Station Blvd, Suite 100
Jonesboro, GA 302362900
Mailing address
11 Upper Riverdale Rd Sw
Riverdale, GA 302742615
Authorized official
Christopher Doan
Chief Compliance Counsel
📞 9092354307
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Minh Tang, PAA Anesthesiologist Assistant NPI 1003366873
- Jana Yates Nurse Practitioner NPI 1194545632
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Spivey Station Surgery Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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