Healthcare Provider Details

I. General information

NPI: 1508054149
Provider Name (Legal Business Name): MIDDLE GEORGIA SURGICAL ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 FAIRVIEW PARK DRIVE J. ANDREW BEDINGFIELD, JR.
DUBLIN GA
31021-2501
US

IV. Provider business mailing address

103 FAIRVIEW PARK DRIVE J. ANDREW BEDINGFIELD, JR.
DUBLIN GA
31021-2501
US

V. Phone/Fax

Practice location:
  • Phone: 478-275-4300
  • Fax: 478-275-4265
Mailing address:
  • Phone: 478-275-4300
  • Fax: 478-275-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number027343
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number027343G
License Number StateGA

VIII. Authorized Official

Name: DR. JAMES ANDREW BEDINGFIELD JR.
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 478-275-4300