Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centurion Surgery Center of Waycross LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1902653884

Centurion Surgery Center of Waycross LLC is an Ambulatory Surgical Clinic/Center in Waycross, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1218 Alice St Ste B
Waycross, GA 31501-4525
Phone: (912) 590-0973
Fax: (912) 590-0180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1902653884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Groth — Credentialing Manager · (904) 256-2754
NPI enumeratedApril 30, 2024
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609

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