Provider Demographics
NPI:1356750707
Name:NEXUS OF ALBANY SURGERY CENTER LLC
Entity type:Organization
Organization Name:NEXUS OF ALBANY SURGERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF BOARD/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSIAH
Authorized Official - Middle Name:SIMPSON
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:229-496-1874
Mailing Address - Street 1:2810 MEREDYTH DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2278
Mailing Address - Country:US
Mailing Address - Phone:229-496-1874
Mailing Address - Fax:229-496-1665
Practice Address - Street 1:2810 MEREDYTH DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-2278
Practice Address - Country:US
Practice Address - Phone:229-496-1874
Practice Address - Fax:229-496-1665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical