NPI age
17 years
Enumerated 2009-01-02
● Active Type 2 · Organization
Seaside Surgical, Llc
Seaside Surgical, Llc is 1 of 33 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Office Manager
Last NPPES update
2025-08-04
Source: monthly bulk 2026-05
How this organization compares
Across 33 active clinic/center providers in Georgia.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
3303b Glynn Ave
Brunswick, GA 315204406
Mailing address
3303b Glynn Ave
Brunswick, GA 315204406
Authorized official
Lisa J Clark
Office Manager
📞 9124669500
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 833908673A | |
| 01 (GA) | 11C0001332 | MEDICARE |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.