NPI age
18 years
Enumerated 2007-10-03
● Active Type 2 · Organization
Colorectal Surgery Associates P C
Colorectal Surgery Associates P C is 1 of 94 colon & rectal surgery organizations in Georgia.
Primary specialty
Colon & Rectal Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brewer
MD
Last NPPES update
2018-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 94 active colon & rectal surgery providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
240 Sheraton Blvd
MacOn, GA 312101358
Mailing address
240 Sheraton Blvd
MacOn, GA 312101358
Authorized official
Douglas Alan Brewer
MD
📞 4784711943
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Jay Anderson, M.D. Internal Medicine NPI 1528245784
- Susan Debey, NP-C Nurse Practitioner NPI 1619281680
- William Fackler, MD Internal Medicine NPI 1245236082
- Tami Goddard, NP-C Nurse Practitioner NPI 1871842815
- Amelia Granger, PA-C Physician Assistant NPI 1063009041
- Kayla Jones, NP C Nurse Practitioner NPI 1750853271
- Joel Judah, MD Internal Medicine NPI 1215097852
- Elizabeth Lowry, PA-C Physician Assistant NPI 1285878165
- Daniel Penn, M.D. Internal Medicine NPI 1528143377
- Sarah Widener Nurse Practitioner NPI 1669367694
- Jennifer Wood, PA-C Physician Assistant NPI 1235302753
Specialties
-
Colon & Rectal Surgery PrimaryA colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000622916B | |
| 05 (GA) | 300032589D |
Practice context
Multi-provider organization. 11 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.