MEDICARE: BEL-MAE SURGICAL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1164372926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEL-MAE SURGICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	6027 ARMOR DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6244
Country	:	US
Telephone Number	:	678-368-5178
Fax Number	:

Provider Business Practice Location Address
First Line	:	6027 ARMOR DR
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-6244
Country	:	US
Telephone Number	:	678-368-5178
Fax Number	:

Authorized Official
Title or Position	:	SURGICAL FIRST ASSISTANT
Name	:	MR. MAURICE KIRKSEY LYONS
Credential	:	CSFA
Telephone Number	:	678-368-5178

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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