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Ent of South Georgia Surgery Center LLC

Ambulatory Surgical Clinic/Center in Valdosta, GA · enumerated 2016 · authorized official Ronald Allen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104272780

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Registry record

Entity type Organization (Type 2)
Legal business name Ent of South Georgia Surgery Center LLC
Parent organization Ear, Nose, Throat and Allergy Associates of South Georgia PC
Practice address 2805 N Oak St, Valdosta, GA, 31602
Phone (229) 244-2562
Fax (229) 249-0000
Enumeration date May 12, 2016
Last updated in NPPES May 3, 2017

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ronald Allen
Title President
Phone (229) 244-2562

Other identifiers

Identifier Type State Issuer
000655146A Medicaid GA -
000834589A Medicaid GA -
000946668A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ent of South Georgia Surgery Center LLC?
The NPI for Ent of South Georgia Surgery Center LLC is 1104272780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ent of South Georgia Surgery Center LLC?
NPPES lists Ronald Allen (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-03.