{"npi":"1497752745","type":"NPI-2","status":"active","name":{"display":"Orthopedic South Surgical Partners, LLC","other":[],"organization_name":"ORTHOPEDIC SOUTH SURGICAL PARTNERS, LLC","authorised_official":"Collin Lemaistre"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":"GA","license":"031-274"}]},"addresses":[{"purpose":"LOCATION","street_1":"156 FOSTER DR STE A","city":"MCDONOUGH","state":"GA","postal_code":"302535330","country_code":"US","phone":"6784224230"},{"purpose":"MAILING","street_1":"156 FOSTER DR STE A","city":"MCDONOUGH","state":"GA","postal_code":"302535330","country_code":"US","phone":"6784224230","fax":"6784224287"}],"license":{"state":"GA","number":"031-274"},"identifiers":[{"type_code":"01","label":"Other","value":"P00084312","state":"GA","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040114000698","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"GA","pac_id":"5193626000"}]},"enumeration_date":"2005-07-01","last_updated":"2024-10-15","_meta":{"source":"NPPES","snapshot_date":"2024-10-15","doc_url":"https://findmynpi.com/api"}}