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

Surgical Practice Facility

Organization Surgery Physician · NPI 1396987582

Surgical Practice Facility is a Surgery Physician in Fort Valley, Georgia. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

701 Bluebird Blvd
Fort Valley, GA 31030-5085
Phone: (478) 825-7000
Fax: (478) 825-4485
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1396987582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Peed — Ceo · (478) 825-8691
NPI enumeratedApril 2, 2009
Last updated in NPPESApril 2, 2009
Mailing address701 Bluebird Blvd, Fort Valley, GA 31030-5085