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

Lake Spivey Ambulatory Surgery Care, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1487012480

Lake Spivey Ambulatory Surgery Care, LLC is an Ambulatory Surgical Clinic/Center in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

7813 Spivey Station Blvd Ste 100
Jonesboro, GA 30236-2900
Phone: (770) 268-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 031127 (GA)

Record details

NPI number1487012480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doan — Chief Compliance Counsel · (909) 235-4307
Other names Spivey Station Surgery Center
NPI enumeratedFebruary 4, 2016
Last updated in NPPESFebruary 4, 2016
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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