# GAINESVILLE SURGICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649223173
- **Authorized official:** MRS. SHELBY DODD LOGGINS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (770) 532-6341

## Contact information

- **Practice address:** 1250 JESSE JEWELL PKWY SE, SUITE 200, GAINESVILLE, GA 30501-3871
- **Practice address phone:** (770) 532-6341
- **Practice address fax:** (770) 532-0178
- **Mailing address:** 1250 JESSE JEWELL PKWY SE, SUITE 200, GAINESVILLE, GA 30501-3871
- **Mailing address phone:** (770) 532-6341
- **Mailing address fax:** (770) 532-0178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 09/11/2025