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

Wayne L Ambroze, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1972561405

Wayne L Ambroze, MD is a Colorectal Surgery (Proctology) in Atlanta, Georgia. Graduated from Northwestern University Feinberg Medical School in 1983, 43 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
43
Trained at
Northwestern University Feinberg Medical School
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5445 Meridian Marks Rd Ste 180
Atlanta, GA 30342-4763
Phone: (770) 277-4277
Fax: (404) 252-5745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 033019 (GA)

Record details

NPI number1972561405
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address5445 Meridian Marks Rd, Suite 180, Atlanta, GA 30342-4763

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1983 (43 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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