Individual provider Active NPI

Vernon George Rouzeau-Saunders, RN, RNFA

  • Surgical Physician Assistant
  • Sugar Hill, GA
National Provider Identifier
1003286717
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
RN238189 Issued in GA
Practice address
1720 Shire Village Dr
Sugar Hill, GA 30518-2922
Phone
(678) 332-8596
NPI assigned
Oct 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X RN238189 GA Primary

Addresses

Primary practice location

1720 Shire Village Dr
Sugar Hill, GA 30518-2922

Mailing address

1720 Shire Village Dr
Sugar Hill, GA 30518-2922
Phone (678) 332-8598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN238189GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainestate Surgical Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1003286717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SHIRE VILLAGE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305182922",
            "telephone_number": "678-332-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SHIRE VILLAGE DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305182922",
            "telephone_number": "678-332-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUZEAU-SAUNDERS",
        "first_name": "VERNON",
        "middle_name": "GEORGE",
        "credential": "RN, RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "RN238189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.