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Southlake Ambulatory Surgery Center, Lllp

Ambulatory Surgical Clinic/Center in Jonesboro, GA · enumerated 2006 · authorized official John Mclain, Executive Vp & Coo.

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

National Provider Identifier

1508974353

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Registry record

Entity type Organization (Type 2)
Legal business name Southlake Ambulatory Surgery Center, Lllp
Other name <Unavail>
Practice address 7813 Spivey Station Blvd, Suite 100, Jonesboro, GA, 30236
Phone (770) 268-6000
Fax (770) 268-6001
Enumeration date Aug 29, 2006
Last updated in NPPES Jul 25, 2013

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 031127 (GA) Primary

Authorized official

Name John Mclain
Title Executive Vp & Coo
Phone (770) 991-8000

Other identifiers

Identifier Type State Issuer
00973046A Medicaid GA -
306743 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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-07-25. Verify at npiregistry.cms.hhs.gov.
Where is Southlake Ambulatory Surgery Center, Lllp located?
The practice location on file with NPPES is in Jonesboro, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-07-25.