Athens Limestone Surgical Clinic

Surgery in Athens, AL. Organization (NPI-2).

NPI number1689201766

StatusActive

Last updated in NPPESJan 5, 2024

Details

NPI: 1689201766
Entity type: Organization (NPI-2)
Legal business name: Athens Limestone Surgical Clinic
Organization subpart: No
Enumeration date: Mar 26, 2020
Certification date: Jan 5, 2024
Last updated: Jan 5, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	–	–	Yes

Practice location

101 Fitness Way Ste 2100
Athens, AL 35611-2494

Phone 256-262-6190 · Fax 256-262-6199

Mailing address

101 Fitness Way Ste 2100
Athens, AL 35611-2494

Phone 256-262-6190 · Fax 256-262-6199

Authorized official

Sebrina B Holt
Director Of Physician Network
2562169648

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Athens, AL

All 14 Surgery Physician providers in Athens · All 800 providers in Athens

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