NPI age
10 years
Enumerated 2015-06-18
● Active Type 2 · Organization
Riverside Surgery Center, Llc
Riverside Surgery Center, 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
Taylor
Credentialing Specialist
Last NPPES update
2015-07-13
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 · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
3556 Riverside Dr
MacOn, GA 312102509
Mailing address
3556 Riverside Dr
MacOn, GA 312102509
Authorized official
Jana Sue Taylor
Credentialing Specialist
📞 6784262188
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Nirmal Kumar Das, OTR Occupational Therapist NPI 1295913424
- Kelly Hubbard, SLP Speech-Language Pathologist NPI 1518124130
- Christina Ward, SLP Speech-Language Pathologist NPI 1821317645
- Whitney Whitten, OTR/L Occupational Therapist NPI 1740516988
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
RIVERSIDE SURGERY CENTER
Practice context
Multi-provider organization. 4 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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